Look up the most recent NPI and PECOS records

Jacob Sidney Alexander

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave, Toledo, OH 43614-2595

PECOS Enrollment

This provider is enrolled in PECOS as JACOB ALEXANDER.

Based on the most recent information from CMS, provider Jacob Sidney Alexander 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 today at 11:36 AM.

Profile Details

Provider ID
1316556368
Provider Type
Individual
Full Name
Alexander, Jacob Sidney
Title
Dr.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/27/2020
Last Updated
3/27/2023

Contact Information

Practice Location

3000 Arlington Ave, Toledo, OH 43614-2595

(419) 383-4000

Unlisted Fax

Mailing Location

3000 Arlington Ave, Toledo, OH 43614-2595

Unlisted Phone

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

Jacob Sidney Alexander

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lochrie, Arielle Ruth

Khogeer, Feras

Bucher, Rachel

Nassar, Monther

Pourturk, Juyan Lotfali

Davis, Samantha Elizabeth

Custer, Brian Allan

Alfaris, Nasreen Faris

Dodrill, Michael

Behrens, Kyle Michael