Look up the most recent NPI and PECOS records

Alexander Zachary Persyn

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4205 S Isabella Rd, Mt Pleasant, MI 48858-9103

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDER PERSYN.

Based on the most recent information from CMS, provider Alexander Zachary Persyn 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1740911270
Provider Type
Individual
Full Name
Persyn, Alexander Zachary
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/24/2022
Last Updated
9/12/2022

Contact Information

Practice Location

4205 S Isabella Rd, Mt Pleasant, MI 48858-9103

(810) 748-7003

Unlisted Fax

Mailing Location

4205 S Isabella Rd, Mt Pleasant, MI 48858-9103

(810) 748-7003

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601011259 Michigan

Alexander Zachary Persyn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mallory, Cloe

Chen, Hsin-Kai

Goike, Andrew J

Geitman, Katelyn

Wegenke, Brandon M

Brotherton, Matthew

Piontek, Logan James

Denzer, Luke

Sol, Erin

Duffy, Brian