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Alyssa Marie Grawe

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA GRAWE.

Based on the most recent information from CMS, provider Alyssa Marie Grawe 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
1821819202
Provider Type
Individual
Full Name
Grawe, Alyssa Marie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/18/2024
Last Updated
10/18/2024

Contact Information

Practice Location

Emile @ 42nd St, Omaha, NE 68198-0001

(402) 559-8874

(402) 559-7600

Mailing Location

1850 S 177th Ave, Omaha, NE 68130-2614

(402) 677-7144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3165 Nebraska

Alyssa Marie Grawe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Polack, Susan H

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Schmitt, Ashley Lynn

Sunderman, Anna C

Skelton, Emma Elizabeth

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Hensley, Brandi L