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Alicia Christine Calos

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

900 W 38th St Ste 400, Austin, TX 78705-1141

PECOS Enrollment

This provider is enrolled in PECOS as ALICIA CALOS.

Based on the most recent information from CMS, provider Alicia Christine Calos 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 5 days ago.

Profile Details

Provider ID
1346875242
Provider Type
Individual
Full Name
Calos, Alicia Christine
Credential
APRN-CP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/11/2020
Last Updated
9/10/2021

Contact Information

Practice Location

900 W 38th St Ste 400, Austin, TX 78705-1141

(800) 803-6960

Unlisted Fax

Mailing Location

4 Hidden Pond Ln, North Reading, MA 01864-1551

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1029640 Texas

Alicia Christine Calos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Anderson, Catherine Joyce

Wanstrom, Mary Katherine

Macdonald, Lisa

Murphy, Emily Marie

Henriques, Ana Christina

Vu, Kelley Tran

Bode, Sara

Schmidt, Kristin Marie

Smith-Stocker, Alexandra

Salgado, Genesis