Individual ProviderAlexa BrynildsenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Rosebrook Way, Wareham, MA 02571-1138(508) 273-4950(508) 973-2000PECOS EnrollmentBased on the most recent information from CMS, provider Alexa Brynildsen 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 9:43 AM.Profile DetailsProvider ID1720770886Provider TypeIndividualFull NameBrynildsen, AlexaGenderFemaleSole ProprietorNoEnumeration Date5/25/2023Last Updated9/12/2024Contact InformationPractice LocationPractice Address100 Rosebrook Way, Wareham, MA 02571-1138Phone(508) 273-4950FaxUnlisted FaxMailing LocationMailing Address200 Mill Rd, Fairhaven, MA 02719-5252Phone(508) 973-2000Fax(508) 973-2001Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN2327518Massachusetts