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Alaina Anne Vacco

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

7600 N 15th St Ste 100, Phoenix, AZ 85020-4330

PECOS Enrollment

This provider is enrolled in PECOS as ALAINA VACCO.

Based on the most recent information from CMS, provider Alaina Anne Vacco 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
1538400692
Provider Type
Individual
Full Name
Vacco, Alaina Anne
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/13/2013
Last Updated
3/8/2022

Contact Information

Practice Location

7600 N 15th St Ste 100, Phoenix, AZ 85020-4330

(602) 704-2345

(602) 704-2399

Mailing Location

1 N 1st St Fl 7, Phoenix, AZ 85004-2357

(602) 704-2345

(602) 704-2399

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5323 Arizona

Alaina Anne Vacco

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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