Individual ProviderLixuan LiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1523 S Mission St, Mt Pleasant, MI 48858-4230(989) 773-1166(989) 289-7980PECOS EnrollmentBased on the most recent information from CMS, provider Lixuan Li 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 yesterday at 12:57 PM.Profile DetailsProvider ID1831699974Provider TypeIndividualFull NameLi, LixuanCredentialPAGenderFemaleSole ProprietorNoEnumeration Date2/15/2018Last Updated2/15/2018Contact InformationPractice LocationPractice Address1523 S Mission St, Mt Pleasant, MI 48858-4230Phone(989) 773-1166Fax(989) 772-6835Mailing LocationMailing Address1702 Morning Mist, Mt Pleasant, MI 48858-8186Phone(989) 289-7980FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601008473Michigan