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ALEXIS MARIE MEDEMA
NPI 1942069489
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Active since March 18, 2024PECOS Enrolled
809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-4403 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alexis Marie Medema NPPES

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

ALEXIS MARIE MEDEMA (NPI 1942069489) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942069489
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS MARIE MEDEMA
Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-4403
Phone(843) 692-4403
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 17, 2024
✔ NPI 1942069489 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.

809 82ND PKWY, Myrtle Beach, SC 29572
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Marie Medema is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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


The following 20 providers are registered at the same or a nearby location.

THOMAS J MARTEL M.D.
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
HIRAM B BROOKS M.D.
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
CESAR I KANAMORI M.D.
Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
ERIKA R. KING M.D.
Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
DONALD C KING M.D.
Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
JARRATT D LARK M.D.
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
JOHN CHARLES M.D.
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
JOHN T. MOLNAR M.D.
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
BRIAN LOSKILL P.A.
Physician Assistant (Medical)
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
CHARLES E. TARBERT M.D.
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929
DR. DEREK L HORSTEMEYER MD
Anesthesiology
809 82ND PKWY, ANESTHESIA DEPT
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
DAVID E ABRAMOVITZ CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY, ANESTHESIA DEPT
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
DR. JAMES ELLIOTT BRANNON MD
Anesthesiology
809 82ND PKWY, ANESTHESIA DEPT
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
DEBORAH MARIE RAMBO CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY, ANESTH DEPT
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
JOSHUA P DELONG CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1062
PATRICK E QUINN CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1062
JEAN M. VINSKI CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1062
RICHARD S SMYERS CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1062
MARY E STEPPLING CRNA
Nurse Anesthetist, Certified Registered
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1062
ANGELLA E SMITH M.D.
Internal Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-5929

Frequently Asked Questions

What is Alexis Medema's NPI number?

The NPI number assigned to this healthcare provider is 1942069489, enumerated as an "individual" on March 18, 2024.

Where is the provider located?

The provider is located at 809 82ND PKWY MYRTLE BEACH, SC 29572 and the phone number is (843) 692-4403.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.