Individual ProviderJaryd ZapatkaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1148 Broadway Ste 100, Tacoma, WA 98402-3518(253) 722-2161PECOS EnrollmentBased on the most recent information from CMS, provider Jaryd Zapatka 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 6 days ago.Profile DetailsProvider ID1689265951Provider TypeIndividualFull NameZapatka, JarydTitleMr.GenderMaleSole ProprietorNoEnumeration Date1/29/2021Last Updated10/22/2021Contact InformationPractice LocationPractice Address1148 Broadway Ste 100, Tacoma, WA 98402-3518Phone(253) 722-2161FaxUnlisted FaxMailing LocationMailing Address1148 Broadway Ste 100, Tacoma, WA 98402-3518Phone(253) 722-2161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA61221231WashingtonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer