Look up the most recent NPI and PECOS records

Mandy Wohlers

Counselor

Behavioral Health & Social Service Providers

1715 Tower Dr W Ste 100, Stillwater, MN 55082-7609

PECOS Enrollment

Based on the most recent information from CMS, provider Mandy Wohlers is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1184450561
Provider Type
Individual
Full Name
Wohlers, Mandy
Gender
Female

Sole Proprietor
No
Enumeration Date
9/11/2024
Last Updated
9/11/2024

Contact Information

Practice Location

1715 Tower Dr W Ste 100, Stillwater, MN 55082-7609

(651) 390-5001

Unlisted Fax

Mailing Location

1018 Pine St W, Stillwater, MN 55082-5647

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 12616 Minnesota

Mandy Wohlers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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