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Alexandra Kaitlin Tennant

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDRA TENNANT.

Based on the most recent information from CMS, provider Alexandra Kaitlin Tennant 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
1710301494
Provider Type
Individual
Full Name
Tennant, Alexandra Kaitlin
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/14/2014
Last Updated
1/30/2025

Contact Information

Practice Location

21 Armory Dr, Wheeling, WV 26003-6370

(304) 780-8101

Unlisted Fax

Mailing Location

21 Armory Dr, Wheeling, WV 26003-6370

(304) 780-8101

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1800 West Virginia
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 003916 Ohio

Alexandra Kaitlin Tennant

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Hewitt, Chelsea W

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