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ALEXA KHERSONSKY M.D.
NPI 1174835730
Student in an Organized Health Care Education/Training Program in Vacaville, CA

Active since July 11, 2010PECOS EnrolledAccepts Medicare Assignment
1 QUALITY DR, VACAVILLE, CA 95688(707) 624-4000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexa Khersonsky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA KHERSONSKY M.D. (NPI 1174835730) is an individual student in an organized health care education/training program in Vacaville, California and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2010).

NPPES Registry Identity

NPI1174835730
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXA KHERSONSKYCredential: M.D.
Location Address1 QUALITY DRVacaville, CA 95688-9494
Mailing Address1 Quality DrVacaville, CA 95688-9494
Phone(707) 624-4000
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2010
Enumeration DateJuly 11, 2010
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1174835730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 QUALITY DR, Vacaville, CA 95688
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Other Names 1

Professional Name (2)Alexa Maksimova M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexa Khersonsky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224350533
PECOS Enrollment IDI20141121002376
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD BRADNER WARD CRNA
Nurse Anesthetist, Certified Registered
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4207
MS. ELAINE GARDNER PT
Physical Therapist
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4000
SAMANTHA LYNN TORRES-RAMONDO
Respiratory Therapist, Registered
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-1850
WES R WILTSE DO
Physical Medicine & Rehabilitation
1 QUALITY DR, B36
VACAVILLE, CA 95688
Solano County (707) 684-3840
MRS. NATALIA FELDMAN OTR/L
Occupational Therapist
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4000
ANKUR NITIN KAPADIA MD
Family Medicine
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4000
KAISER PERMANENTE
Clinic/Center (Adult Mental Health)
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-2600
DR. WILLIAM F STAHLBERGER OD
Optometrist
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-2720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexa Khersonsky's NPI number?

The NPI number for Alexa Khersonsky is 1174835730. It was assigned to this individual provider in the NPPES registry on July 11, 2010. The provider is also known as Alexa Maksimova M.D..

Where is Alexa Khersonsky located?

Alexa Khersonsky practices at 1 Quality Dr, Vacaville, CA 95688. The listed phone number is (707) 624-4000.

What is Alexa Khersonsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexa Khersonsky enrolled in Medicare?

Yes. Alexa Khersonsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexa Khersonsky was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.