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Tonda Marie Stauffer

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

30 Medical Park, Suite 230, Wheeling, WV 26003

PECOS Enrollment

This provider is enrolled in PECOS as TONDA STAUFFER.

Based on the most recent information from CMS, provider Tonda Marie Stauffer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1003914896
Provider Type
Individual
Full Name
Stauffer, Tonda Marie
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/20/2006
Last Updated
6/3/2020

Contact Information

Practice Location

30 Medical Park, Suite 230, Wheeling, WV 26003

(304) 242-4660

(304) 242-6430

Mailing Location

30 Medical Park, Suite 230, Wheeling, WV 26003

(304) 242-4660

(304) 242-6430

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 397 West Virginia

Provider Identifiers

ID	Description	Issuer
ID 0081009	Description Medicaid	Issuer Unlisted Ohio

Tonda Marie Stauffer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Brunner, Jon-Michael

Ging, Madison Paige

Mcdonald, Ethan Wesley

Knight, Lindy M

Madia, Elizabeth M

Kosanovic-Buchi, Lexie

Smith, Abigail Maria

Wolfe, Michelle R

Holub, Sierra Nicole

Hamby, James R