Look up the most recent NPI and PECOS records

Jay Patrick Mathias

Student in an Organized Health Care Education/Training Program

Student, Health Care

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

PECOS Enrollment

This provider is enrolled in PECOS as JAY MATHIAS.

Based on the most recent information from CMS, provider Jay Patrick Mathias 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 1:10 PM.

Profile Details

Provider ID
1194467795
Provider Type
Individual
Full Name
Mathias, Jay Patrick
Gender
Male

Sole Proprietor
No
Enumeration Date
4/13/2022
Last Updated
4/13/2022

Contact Information

Practice Location

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

Unlisted Fax

Mailing Location

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jay Patrick Mathias

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ehrlich, Haley Brooke

Humphrey, Morgan Kent Taylor

Shah, Akash

Pickett, Riley Mitchell

Lebamoff, Andrew Damian

Hall, Amanda

Shi, Stephanie

Said, Azhar

Galasso, Bianca Gabriela

Zierden, Theodore William