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Irene Rachel Dixon

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

300 Halket St, Pittsburgh, PA 15213-3108

PECOS Enrollment

This provider is enrolled in PECOS as IRENE GRYSIAK.

Based on the most recent information from CMS, provider Irene Rachel Dixon 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 2 days ago.

Profile Details

Provider ID
1740761238
Provider Type
Individual
Full Name
Dixon, Irene Rachel
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/23/2018
Last Updated
2/7/2023

Contact Information

Practice Location

300 Halket St, Pittsburgh, PA 15213-3108

(412) 641-1635

Unlisted Fax

Mailing Location

300 Halket St, Pittsburgh, PA 15213-3108

(412) 641-1635

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA060007 Pennsylvania

Irene Rachel Dixon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Carroll, Lauren Michelle

Lee, Heather Nicole

Baugh, Abigail Marie

Crum, Abigail G

Truscott, Judith J

Conti, Madison

Vanlieshout, Adam

Herrem, Michelle Lynn

Moss, Krista Marie

Yedlowski, Hunter