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Oksana Alicia Arvizu

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as OKSANA ARVIZU.

Based on the most recent information from CMS, provider Oksana Alicia Arvizu 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1710572227
Provider Type
Individual
Full Name
Arvizu, Oksana Alicia
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/5/2021
Last Updated
12/23/2022

Contact Information

Practice Location

9015 N 3rd St, Phoenix, AZ 85020-2444

(480) 882-4545

Unlisted Fax

Mailing Location

7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668

(480) 882-4545

(480) 882-5814

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 8706 Arizona

Provider Identifiers

ID	Description	Issuer
ID 103109	Description Medicaid	Issuer Unlisted Arizona

Oksana Alicia Arvizu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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