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Alexander Paul Dziagwa

Social Worker

Behavioral Health & Social Service Providers

10350 Dransfeldt Rd, Parker, CO 80134-9673

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDER DZIAGWA.

Based on the most recent information from CMS, provider Alexander Paul Dziagwa is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1265254213
Provider Type
Individual
Full Name
Dziagwa, Alexander Paul
Gender
Male

Sole Proprietor
No
Enumeration Date
10/30/2024
Last Updated
10/30/2024

Contact Information

Practice Location

10350 Dransfeldt Rd, Parker, CO 80134-9673

(303) 730-8858

Unlisted Fax

Mailing Location

116 Inverness Dr E Ste 105, Englewood, CO 80112-5125

(303) 730-8858

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CSW.09931075 Colorado

Alexander Paul Dziagwa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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