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Andi Dey Faldyn

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159

PECOS Enrollment

This provider is enrolled in PECOS as ANDI FALDYN.

Based on the most recent information from CMS, provider Andi Dey Faldyn is legally eligible to order and refer claims for DME and PMD services only.

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

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1952554230
Provider Type
Individual
Full Name
Faldyn, Andi Dey
Credential
P.A.-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/30/2008
Last Updated
12/8/2017

Contact Information

Practice Location

10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159

(512) 327-4262

(512) 327-4260

Mailing Location

PO Box 844658, Dallas, TX 75284-4658

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA05980 Texas
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Andi Dey Faldyn

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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