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Alissa Maria Erickson

Student in an Organized Health Care Education/Training Program

Student, Health Care

13001 E 17th Place, Room E7019 Mail Stop F543, Aurora, CO 80045

PECOS Enrollment

This provider is enrolled in PECOS as ALISSA ERICKSON.

Based on the most recent information from CMS, provider Alissa Maria Erickson 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 8:47 AM.

Profile Details

Provider ID
1639997661
Provider Type
Individual
Full Name
Erickson, Alissa Maria
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/30/2024
Last Updated
9/30/2024

Contact Information

Practice Location

13001 E 17th Place, Room E7019 Mail Stop F543, Aurora, CO 80045

(303) 724-7963

Unlisted Fax

Mailing Location

13001 E 17th Place, Room E7019 Mail Stop F543, Aurora, CO 80045

(303) 724-7963

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

Alissa Maria Erickson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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