| Jb Pain Free Md Pllc | |
|
601 Cornerstone Ln Bryn Mawr PA 19010-2073 | |
| (610) 578-8820 | |
| Not Available |
| Full Name | Jb Pain Free Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 Cornerstone Ln, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Jason Brajer (OWNER) |
| Authorized Official Contact | 6104139597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jb Pain Free Md Pllc 601 Cornerstone Ln Bryn Mawr PA 19010-2073 Ph: (610) 578-8820 | Jb Pain Free Md Pllc 601 Cornerstone Ln Bryn Mawr PA 19010-2073 Ph: (610) 578-8820 |
| NPI Number | 1316441017 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 03/19/2018 |
| Medicare PECOS PAC ID | 9234494584 |
|---|---|
| Medicare Enrollment ID | O20180607001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316441017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 025443-E (Pennsylvania) | Primary |
| Provider Name | Jason H Brajer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609856723 PECOS PAC ID: 7214913656 Enrollment ID: I20080407000453 |
| Provider Name | Riddhi Saurabh Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722430 PECOS PAC ID: 5698108637 Enrollment ID: I20191205002613 |
| Provider Name | Ashley Delserro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306560701 PECOS PAC ID: 3678949393 Enrollment ID: I20221021000565 |
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