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Alisa Morgan Cogan

Dentist

Dental Providers

812 SW Federal Hwy, Stuart, FL 34994-2939

PECOS Enrollment

This provider is enrolled in PECOS as ALISA KLEIMAN.

Based on the most recent information from CMS, provider Alisa Morgan Cogan is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1891281697
Provider Type
Individual
Full Name
Cogan, Alisa Morgan
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
No
Enumeration Date
7/3/2018
Last Updated
10/29/2023

Contact Information

Practice Location

812 SW Federal Hwy, Stuart, FL 34994-2939

(772) 287-1671

Unlisted Fax

Mailing Location

10338 Panama St, Hollywood, FL 33026-4529

(954) 292-2383

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License DN23235 Florida

Alisa Morgan Cogan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

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