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Alix Mertens

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215

PECOS Enrollment

Based on the most recent information from CMS, provider Alix Mertens 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 yesterday at 11:26 AM.

Profile Details

Provider ID
1376184549
Provider Type
Individual
Full Name
Mertens, Alix
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/30/2019
Last Updated
11/23/2021

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215

(414) 649-3370

Unlisted Fax

Mailing Location

2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669

(414) 649-3370

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 4730-23 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100095045	Description Medicaid	Issuer Unlisted Wisconsin

Alix Mertens

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mason, Emily

Pittman, Jennifer Leigh

Giebel, M Christine

Sinitz, Cheryl L.

Bronek, Luann J

Virk, Effett S

Legree, Meredith A

Murphy, Brianna Cecelia

Mustafa, Nesreen

Cook, Haley C