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Anne L Adams-Alexis

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3100 Douglas Blvd, Roseville, CA 95661-3866

PECOS Enrollment

This provider is enrolled in PECOS as ANNE ADAMS-ALEXIS.

Based on the most recent information from CMS, provider Anne L Adams-Alexis is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629089461
Provider Type
Individual
Full Name
Adams-Alexis, Anne L
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
8/10/2006
Last Updated
7/27/2015

Contact Information

Practice Location

3100 Douglas Blvd, Roseville, CA 95661-3866

(916) 774-8500

(916) 773-9223

Mailing Location

10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539

(800) 470-0071

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA12762 California

Provider Identifiers

ID	Description	Issuer
ID 0PA127620	Description Medicaid	Issuer Unlisted California

Anne L Adams-Alexis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Olson, Maryel

Turney, Carlynn

Shiue, Erin Elizabeth

Hill, Taylor Dayne

Vassallo, Nancy Jo

Miranda, Lisa M

Vennik, Anthony T

Moser, Rodney L

Walts, Ina Marie

Katches, Talitha