Individual ProviderLexie Kosanovic-BuchiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1 Medical Park, Wheeling, WV 26003-5014(304) 242-0590(304) 780-9609PECOS EnrollmentBased on the most recent information from CMS, provider Lexie Kosanovic-Buchi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1194462978Provider TypeIndividualFull NameKosanovic-Buchi, LexieCredentialBS, MPAS, PA-CGenderFemaleSole ProprietorYesEnumeration Date5/13/2022Last Updated8/7/2024Contact InformationPractice LocationPractice Address1 Medical Park, Wheeling, WV 26003-5014Phone(304) 242-0590FaxUnlisted FaxMailing LocationMailing Address180 Fairfield Dr, Wheeling, WV 26003-2095Phone(304) 780-9609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2619West VirginiaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerWest VirginiaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer