Individual ProviderAmanda AlexanderPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4014 Leavenworth Street, Omaha, NE 68198-0001(402) 559-8000(402) 980-3667PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Alexander 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 2 days ago.Profile DetailsProvider ID1689293144Provider TypeIndividualFull NameAlexander, AmandaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date4/14/2020Last Updated4/14/2020Contact InformationPractice LocationPractice Address4014 Leavenworth Street, Omaha, NE 68198-0001Phone(402) 559-8000FaxUnlisted FaxMailing LocationMailing Address5525 Hascall St Apt 517, Omaha, NE 68106-3759Phone(402) 980-3667FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2483Nebraska