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Braeden Bash

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481

PECOS Enrollment

Based on the most recent information from CMS, provider Braeden Bash 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 2 days ago.

Profile Details

Provider ID
1154888477
Provider Type
Individual
Full Name
Bash, Braeden
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
2/22/2019
Last Updated
5/10/2023

Contact Information

Practice Location

120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481

(412) 692-6677

Unlisted Fax

Mailing Location

120 Lytton Ave Ste M060, Pittsburgh, PA 15213-1481

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA060545 Pennsylvania

Braeden Bash

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Johnson, Natalie Carney

Jenkins, Katherine

Rajkovich, Margaret

Munson, Olivia Katherine

Brinton, Emma Elizabeth

Mellon, Kristin

Petrichevich, Jaclyn

Kaskie, Joseph Vincent

Mcginley, Maura

Petrucci, Julia