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Ilana Rachel Siegal

Student in an Organized Health Care Education/Training Program

Student, Health Care

30 E Apple St Ste 2200, Dayton, OH 45409-2939

PECOS Enrollment

This provider is enrolled in PECOS as ILANA SIEGAL.

Based on the most recent information from CMS, provider Ilana Rachel Siegal 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 yesterday at 1:10 PM.

Profile Details

Provider ID
1073263695
Provider Type
Individual
Full Name
Siegal, Ilana Rachel
Gender
Female

Sole Proprietor
No
Enumeration Date
3/26/2022
Last Updated
3/26/2022

Contact Information

Practice Location

30 E Apple St Ste 2200, Dayton, OH 45409-2939

(937) 208-4955

Unlisted Fax

Mailing Location

30 E Apple St Ste 2200, Dayton, OH 45409-2939

(937) 208-4955

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ilana Rachel Siegal

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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