Individual ProviderAlexis JaggerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1945 Route 33, Neptune City, NJ 07753-4859(732) 775-5500(732) 776-4949PECOS EnrollmentBased on the most recent information from CMS, provider Alexis Jagger is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1477945020Provider TypeIndividualFull NameJagger, AlexisCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date2/19/2015Last Updated12/8/2020Contact InformationPractice LocationPractice Address1945 Route 33, Neptune City, NJ 07753-4859Phone(732) 775-5500FaxUnlisted FaxMailing LocationMailing Address1945 Route 33, Neptune, NJ 07753-4859Phone(732) 776-4949Fax(732) 776-4843Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00360700New Jersey