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Primary Practice Address
3553 WHIPPLE RD
UNION CITY, CA 94587-1507 US
PECOS Enrolled

Jade Ericka Gaines

Internal Medicine Physician (Endocrinology/Diabetes & Metabolism)


Jade Ericka Gaines

Overview

Jade Ericka Gaines is a Internal Medicine Physician (Endocrinology/Diabetes & Metabolism) in the UNION CITY area. Jade Ericka Gaines primary office location is at 3553 WHIPPLE RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1992883748 and the information was updated approximately 3 years ago.

Jade Ericka Gaines is affiliated with one medical group in the UNION CITY area, PERMANENTE MEDICAL GROUP INC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3553 WHIPPLE RD
UNION CITY, CA 94587-1507 US
Phone: (510)-454-1000
Fax:
Practice Mailing Information
3553 WHIPPLE RD
UNION CITY, CA 94587-1507 US
Phone: (510)-454-1000
Fax:
License Number State
A60100 CA
Type/Issuer IdentifierState
MEDICAID 00A601000 CA

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20110518000005
PECOS Individual PAC ID: 0749466225
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes