Justin Ajose, PA-C is a medicare enrolled "Physician Assistant - Medical" in Essex, Maryland. His current practice location is
1354 Eastern Blvd, Essex, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 640-4524.
Justin Ajose is licensed to practice in Maryland (license number 1167981) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093304669.
Provider's Profile
| Full Name | Justin Ajose |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 1354 Eastern Blvd, Essex, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093304669
- Provider Enumeration Date: 01/18/2021
- Last Update Date: 02/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971911710
- Enrollment ID: I20210416000358
Medical Identifiers
Medical identifiers for Justin Ajose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093304669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 1167981 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Ajose is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Justin Ajose, PA-C 2004 Rock Spring Rd., Forest Hill, MD 21050-2310 Ph: (444) 640-4524 | Justin Ajose, PA-C 1354 Eastern Blvd, Essex, MD 21221-3423 Ph: (443) 640-4524 |
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