MS. ANDREA MICHELLE TELLISON (CEO) – Home Modifications Contractor, NPI 1043284847
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2014-12-18. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Home Modifications Contractor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. ANDREA MICHELLE TELLISON (CEO)
4415, Wavertree Drive, Missouri City, Fort Bend County, Texas, 77459, United States
MISSOURI CITY, TX 774592949
Phone: (281) 499-8503
Fax: (281) 403-1421
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77459)
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