Alexa Marie Austin, PA-C
Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1699345132
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1699345132
- Entity type
- Individual (NPI-1)
- Name
- Miss Alexa Marie Austin
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4170 City AvePhiladelphia, PA 19131-1610
Phone 215-871-6100
Mailing address
4170 City AvePhiladelphia, PA 19131-1610
Phone 215-871-6100
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