Individual ProviderClint ShepardPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address20 Medical Park, Suite 306, Wheeling, WV 26003-6390(304) 243-7030PECOS EnrollmentBased on the most recent information from CMS, provider Clint Shepard 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 3 days ago.Profile DetailsProvider ID1215311527Provider TypeIndividualFull NameShepard, ClintCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date7/16/2015Last Updated7/16/2015Contact InformationPractice LocationPractice Address20 Medical Park, Suite 306, Wheeling, WV 26003-6390Phone(304) 243-7030Fax(304) 243-4282Mailing LocationMailing Address20 Medical Park, Suite 306, Wheeling, WV 26003-6390Phone(304) 243-7030Fax(304) 243-4282Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer