Look up the most recent NPI and PECOS records

Wendy Su Pereira

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

45 Industrial Blvd Ste C, Pensacola, FL 32503-7668

PECOS Enrollment

This provider is enrolled in PECOS as WENDY PEREIRA.

Based on the most recent information from CMS, provider Wendy Su Pereira 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 5 days ago.

Profile Details

Provider ID
1083302400
Provider Type
Individual
Full Name
Pereira, Wendy Su
Title
Ms.
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/25/2023
Last Updated
7/7/2023

Contact Information

Practice Location

45 Industrial Blvd Ste C, Pensacola, FL 32503-7668

(850) 290-8410

(866) 574-6391

Mailing Location

45 Industrial Blvd Ste C, Pensacola, FL 32503-7668

(850) 290-8410

(866) 574-6391

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11025958 Florida

Wendy Su Pereira

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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