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Alyssa Blumstein

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1950 W Polk St, Chicago, IL 60612-3723

PECOS Enrollment

Based on the most recent information from CMS, provider Alyssa Blumstein 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 3 days ago.

Profile Details

Provider ID
1699457572
Provider Type
Individual
Full Name
Blumstein, Alyssa
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/1/2023
Last Updated
8/3/2023

Contact Information

Practice Location

1950 W Polk St, Chicago, IL 60612-3723

(847) 778-3611

Unlisted Fax

Mailing Location

421 Marshall Rd, Northbrook, IL 60062-3923

(847) 778-3611

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.009835 Illinois

Alyssa Blumstein

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Curan, Megan Elizabeth

Wolfinger, Richard Carl

Fenio, Leslie

Miller, Barbara June

Gronski, Ellery

Lumpkin, Ada

Sanchez, Alejandro

Trammell, Glen Derrick

Patel, Bhoomi J

Burden, Malia Carol