Individual ProviderJason WangAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575(910) 450-4791PECOS EnrollmentBased on the most recent information from CMS, provider Jason Wang 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 yesterday at 12:57 PM.Profile DetailsProvider ID1316200165Provider TypeIndividualFull NameWang, JasonCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/18/2012Last Updated7/20/2022Contact InformationPractice LocationPractice Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575Phone(910) 450-4791FaxUnlisted FaxMailing LocationMailing Address3421 Concord Rd, York, PA 17402-9001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseMD478568PennsylvaniaCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense28047Nebraska