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Moriah Buckley Jamison

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Moriah Buckley Jamison 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 4 days ago.

Profile Details

Provider ID
1699248187
Provider Type
Individual
Full Name
Buckley Jamison, Moriah
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/7/2019
Last Updated
2/15/2022

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

3206 Prospect Ave E Ste 3c, Cleveland, OH 44115-2650

(802) 349-8882

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 025064-01 New York
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 50.005738RX Ohio

Moriah Buckley Jamison

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Castro, Cecilia R

Igneri, Tara Marie

Olinsky, Melanie

Vasilenko, Artem

Juliano, Jamie E

Grauman, Elysha Rand

Weitzner, Esther

Jacob, Stacy

Morano, Martin

Perazzo, Marina