Individual ProviderAlexandra MoodyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address501 E Hampden Ave, Englewood, CO 80113-2702(801) 680-9182(801) 680-2964PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Moody 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 today at 10:26 AM.Profile DetailsProvider ID1629568977Provider TypeIndividualFull NameMoody, AlexandraGenderFemaleSole ProprietorNoEnumeration Date5/12/2018Last Updated7/6/2023Contact InformationPractice LocationPractice Address501 E Hampden Ave, Englewood, CO 80113-2702Phone(801) 680-9182FaxUnlisted FaxMailing LocationMailing Address5050 E Granite Cliffs Rd, Sandy, UT 84092-6221Phone(801) 680-2964FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL0009554Colorado