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Nicholas William Alfred Tseffos

Student in an Organized Health Care Education/Training Program

Student, Health Care

1801 W Wisconsin Ave, Milwaukee, WI 53233-2186

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS TSEFFOS.

Based on the most recent information from CMS, provider Nicholas William Alfred Tseffos 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 12:57 PM.

Profile Details

Provider ID
1184019762
Provider Type
Individual
Full Name
Tseffos, Nicholas William Alfred
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
4/1/2015
Last Updated
4/16/2019

Contact Information

Practice Location

1801 W Wisconsin Ave, Milwaukee, WI 53233-2186

(414) 288-6790

(414) 288-3586

Mailing Location

5395 W Michaels Dr, Appleton, WI 54913-8447

(920) 739-1214

(920) 739-5855

Provider Taxonomies

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

Nicholas William Alfred Tseffos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Scheel, Jonathan

Quint, Rachel Marie

Larry, Hannah

Chaudhari, Jinal

Mehrotra, Anushree

Achatz, Sara Mary

Wagner, Bailey Madeline

Chung, Alessandra

Bancker, Sophia Isabella