Individual ProviderJaime GassRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr, Columbia, MO 65212-1000(573) 884-2000PECOS EnrollmentBased on the most recent information from CMS, provider Jaime Gass 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 ID1205566957Provider TypeIndividualFull NameGass, JaimeCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/15/2022Last Updated7/6/2023Contact InformationPractice LocationPractice Address1 Hospital Dr, Columbia, MO 65212-1000Phone(573) 884-2000FaxUnlisted FaxMailing LocationMailing Address1 Hospital Dr, Columbia, MO 65212-1000PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2023014966MissouriCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense2022021269MissouriProvider IdentifiersIDDescriptionIssuerID2022021269DescriptionOtherIssuerMO LICENSEMissouriID2023014966DescriptionOtherIssuerMO LICENSEMissouri