Individual ProviderPamela MacwilliamsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address130 2nd St Ste 197, Neenah, WI 54956-2883(920) 729-2030PECOS EnrollmentBased on the most recent information from CMS, provider Pamela Macwilliams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1093999500Provider TypeIndividualFull NameMacwilliams, PamelaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date12/19/2007Last Updated5/25/2022Contact InformationPractice LocationPractice Address130 2nd St Ste 197, Neenah, WI 54956-2883Phone(920) 729-2030FaxUnlisted FaxMailing LocationMailing Address3 Neenah Ctr, Neenah, WI 54956-3070PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3325WisconsinProvider IdentifiersIDDescriptionIssuerID2007009217DescriptionOtherIssuerANCCWisconsin