Individual ProviderJaya MehtaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address10800 Knights Rd, Philadelphia, PA 19114-4200(215) 612-5161PECOS EnrollmentBased on the most recent information from CMS, provider Jaya Mehta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114332897Provider TypeIndividualFull NameMehta, JayaCredentialD.O.GenderFemaleSole ProprietorYesEnumeration Date6/21/2014Last Updated6/21/2014Contact InformationPractice LocationPractice Address10800 Knights Rd, Philadelphia, PA 19114-4200Phone(215) 612-5161FaxUnlisted FaxMailing LocationMailing Address1701 Hunters Path Ln, Pittsburgh, PA 15241-3154PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOT016097Pennsylvania