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Alexis Lauren Hartman

Student in an Organized Health Care Education/Training Program

Student, Health Care

981225 Nebraska Medical Ctr, Omaha, NE 68198-0001

PECOS Enrollment

This provider is enrolled in PECOS as ALEXIS HARTMAN.

Based on the most recent information from CMS, provider Alexis Lauren Hartman 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
1003650912
Provider Type
Individual
Full Name
Hartman, Alexis Lauren
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/24/2024
Last Updated
6/24/2024

Contact Information

Practice Location

981225 Nebraska Medical Ctr, Omaha, NE 68198-0001

(402) 559-7005

Unlisted Fax

Mailing Location

981225 Nebraska Medical Ctr, Omaha, NE 68198-0001

(402) 559-7005

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alexis Lauren Hartman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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