Look up the most recent NPI and PECOS records

Jason Robert Stephansky

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

335 Brighton Ave Ste 200, Portland, ME 04102-2362

PECOS Enrollment

This provider is enrolled in PECOS as JASON STEPHANSKY.

Based on the most recent information from CMS, provider Jason Robert Stephansky 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 yesterday at 2:35 PM.

Profile Details

Provider ID
1134858418
Provider Type
Individual
Full Name
Stephansky, Jason Robert
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
6/10/2022
Last Updated
8/22/2022

Contact Information

Practice Location

335 Brighton Ave Ste 200, Portland, ME 04102-2362

(207) 662-8600

Unlisted Fax

Mailing Location

1130 Washington St, Whitman, MA 02382-1236

(781) 710-0072

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID PA2392	Description Other	Issuer BOARD OF LICENSURE IN MEDICINE Maine

Jason Robert Stephansky

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

Perros, Stephen George

Martins, Adam Saint

Szakacs, Sophia

Butterfield, Blue B

Macleod, Courtney C.

Bessey, Kristie L

Langton, Alex J

Ziemba, Morgan Leigh

Patrick, Amy M

Sousa, Sydney Marie