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Jason P Gajdzis

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

15825 Ballantyne Medical Pl, #100, Charlotte, NC 28277-4652

(704) 323-3400 (704) 323-2000

PECOS Enrollment

This provider is enrolled in PECOS as JASON GAJDZIS.

Based on the most recent information from CMS, provider Jason P Gajdzis 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
1649361239
Provider Type
Individual
Full Name
Gajdzis, Jason P
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
9/27/2006
Last Updated
1/22/2015

Contact Information

Practice Location

15825 Ballantyne Medical Pl, #100, Charlotte, NC 28277-4652

(704) 323-3400

Unlisted Fax

Mailing Location

4601 Park Rd, Suite 300, Charlotte, NC 28209-3239

(704) 323-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-05087 North Carolina

Jason P Gajdzis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cox, Orvette

Powers, Christopher R

Sheldon, Jennifer Shields

Kenney, Ethan Raymond

Taylor, Lindsey Chaney

Markey, Melanie Reyer

Miller, Hailey

Manzi, Monica Ann

Stone, Rachel Allyson

Lanier, Micha