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Alyssa K Culbertson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA CULBERTSON.

Based on the most recent information from CMS, provider Alyssa K Culbertson 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
1437795002
Provider Type
Individual
Full Name
Culbertson, Alyssa K
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/19/2019
Last Updated
4/16/2022

Contact Information

Practice Location

Emile @ 42nd St, Omaha, NE 68198-0001

(402) 559-0692

Unlisted Fax

Mailing Location

988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2415 Nebraska

Alyssa K Culbertson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Hensley, Brandi L

Schoonover, Michaela M

Lamb, Jackson Forrest

Hotovy, Maritia

Rieke, Reuben D

Ketchmark, Sophia Josephine

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