Individual ProviderAlexandra BelohlavekStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Wyoming St, Dayton, OH 45409-2722(937) 208-8000(701) 202-6032PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Belohlavek 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 8 days ago.Profile DetailsProvider ID1730979758Provider TypeIndividualFull NameBelohlavek, AlexandraCredentialDOGenderFemaleSole ProprietorYesEnumeration Date5/12/2025Last Updated6/11/2025Contact InformationPractice LocationPractice Address1 Wyoming St, Dayton, OH 45409-2722Phone(937) 208-8000FaxUnlisted FaxMailing LocationMailing Address1403 2nd St NW, Mandan, ND 58554-4903Phone(701) 202-6032FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense58.035141Ohio