Individual ProviderTasha AlexisStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address945 N. 12th Street, Milwaukee, WI 53233-1305(414) 219-5725(718) 614-7273PECOS EnrollmentBased on the most recent information from CMS, provider Tasha Alexis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1619233772Provider TypeIndividualFull NameAlexis, TashaTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/3/2012Last Updated5/5/2021Contact InformationPractice LocationPractice Address945 N. 12th Street, Milwaukee, WI 53233-1305Phone(414) 219-5725FaxUnlisted FaxMailing LocationMailing Address8905 W. Waterford Sq. N., Greenfield, WI 53228-2261Phone(718) 614-7273FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer