Individual ProviderGary K HammPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087(916) 865-1400(800) 470-0071PECOS EnrollmentThis provider is enrolled in PECOS as GARY HAMM.Based on the most recent information from CMS, provider Gary K Hamm is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1861430050Provider TypeIndividualFull NameHamm, Gary KCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date6/2/2006Last Updated3/31/2017Contact InformationPractice LocationPractice Address3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087Phone(916) 865-1400Fax(916) 865-1401Mailing LocationMailing Address10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539Phone(800) 470-0071FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA17045California