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Kaitlyn Mae Rexroat

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4350 Us 421 S, Lillington, NC 27546-6760

PECOS Enrollment

This provider is enrolled in PECOS as KAITLYN REXROAT.

Based on the most recent information from CMS, provider Kaitlyn Mae Rexroat 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
1881213213
Provider Type
Individual
Full Name
Rexroat, Kaitlyn Mae
Gender
Female

Sole Proprietor
No
Enumeration Date
4/15/2020
Last Updated
9/9/2020

Contact Information

Practice Location

4350 Us 421 S, Lillington, NC 27546-6760

(910) 893-1210

Unlisted Fax

Mailing Location

56 Lansing Ct E, Sanford, NC 27332-2368

(248) 408-0885

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-10492 North Carolina
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kaitlyn Mae Rexroat

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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