Look up the most recent NPI and PECOS records

Jason Xie

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jason Xie is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1962838326
Provider Type
Individual
Full Name
Xie, Jason
Gender
Male

Sole Proprietor
Yes
Enumeration Date
9/17/2013
Last Updated
9/12/2016

Contact Information

Practice Location

775 57th St, Brooklyn, NY 11220-3505

(718) 439-6163

Unlisted Fax

Mailing Location

775 57th St, Brooklyn, NY 11220-3505

(718) 439-6163

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 23 016368 New York

Provider Identifiers

ID	Description	Issuer
ID TH66650R	Description Medicaid	Issuer Unlisted New York

Jason Xie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Perez Espinal, Karina Maria

Mckeithan, Jocelyn

Morando, Annelise Katherine

Shapsay, Milana

Orlov, Vadim

Mendoza, Rowena

Fratamico, Alexandria Rose

Zhang, Jinyan

Rutyna, Dana

Fazzolari, Theresa Lynne