Individual ProviderJohn WheelerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1190 Fifth Avenue, Guggenheim Pavilion-Two West, New York, NY 10029(212) 659-6800PECOS EnrollmentBased on the most recent information from CMS, provider John Wheeler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1104567064Provider TypeIndividualFull NameWheeler, JohnGenderMaleSole ProprietorNoEnumeration Date4/5/2022Last Updated4/5/2022Contact InformationPractice LocationPractice Address1190 Fifth Avenue, Guggenheim Pavilion-Two West, New York, NY 10029Phone(212) 659-6800FaxUnlisted FaxMailing LocationMailing Address1190 Fifth Avenue, Guggenheim Pavilion-Two West, New York, NY 10029Phone(212) 659-6800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer