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ALICE JO MD
NPI 1942864855
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Active since April 25, 2019PECOS Enrolled
1 MEDICAL DR DEPT GENERAL, LEBANON, NH 03756(267) 664-6814 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2020, Mar 26, 2020, Apr 25, 2019 (3 updates tracked since 2019).

About Alice Jo Md NPPES

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

ALICE JO MD (NPI 1942864855) is an individual student in an organized health care education/training program in Lebanon, New Hampshire, licensed in New Hampshire (RT-3592) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942864855
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALICE JOCredential: MD
Location Address1 MEDICAL DR DEPT GENERALLebanon, NH 03756-1000
Mailing Address1 Medical Center DrLebanon, NH 03756-0001
Phone(267) 664-6814
Sole ProprietorNo
Enumeration DateApril 25, 2019
Last NPPES UpdateJune 17, 20203 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1942864855 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
License✔ Licensed in NH · RT-3592
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 MEDICAL DR DEPT GENERAL, Lebanon, NH 03756
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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)

Alice Jo Md 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 NPPES 2

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

HAYA ALSHAABI MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT GENERAL
LEBANON, NH 03756
Grafton County (603) 650-5000
SYLVIA GUERRA MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT GENERAL
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Alice Jo's NPI number?

The NPI number for Alice Jo is 1942864855. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Alice Jo located?

Alice Jo practices at 1 Medical Dr Dept General, Lebanon, NH 03756. The listed phone number is (267) 664-6814.

What is Alice Jo's specialty?

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

Is Alice Jo enrolled in Medicare?

Yes. Alice Jo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alice Jo was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.