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Rylie Elisabeth Spell

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10815 Ranch Road 2222, Austin, TX 78730-1159

PECOS Enrollment

This provider is enrolled in PECOS as RYLIE SPELL.

Based on the most recent information from CMS, provider Rylie Elisabeth Spell 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 4 days ago.

Profile Details

Provider ID
1770351397
Provider Type
Individual
Full Name
Spell, Rylie Elisabeth
Title
Ms.
Credential
PA-S

Gender
Female
Sole Proprietor
No
Enumeration Date
12/13/2023
Last Updated
8/7/2024

Contact Information

Practice Location

10815 Ranch Road 2222, Austin, TX 78730-1159

(512) 327-4262

(512) 327-4260

Mailing Location

PO Box 844658, Dallas, TX 75284-4658

(254) 724-2111

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA17930 Texas

Rylie Elisabeth Spell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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