Individual ProviderAlexa IsraeliStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2111 E State St, Athens, OH 45701-2138(740) 566-4621PECOS EnrollmentBased on the most recent information from CMS, provider Alexa Israeli 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 yesterday at 10:10 AM.Profile DetailsProvider ID1689314775Provider TypeIndividualFull NameIsraeli, AlexaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date3/29/2022Last Updated7/31/2023Contact InformationPractice LocationPractice Address2111 E State St, Athens, OH 45701-2138Phone(740) 566-4621FaxUnlisted FaxMailing LocationMailing Address2111 E State St, Athens, OH 45701-2138Phone(740) 566-4621FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer