Individual ProviderJonathan WeltStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3800 W Chapman Ave Ste 7300, Orange, CA 92868-1638(714) 456-7890(914) 924-8792PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Welt 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 9:43 AM.Profile DetailsProvider ID1316683964Provider TypeIndividualFull NameWelt, JonathanGenderMaleSole ProprietorNoEnumeration Date5/6/2022Last Updated5/19/2022Contact InformationPractice LocationPractice Address3800 W Chapman Ave Ste 7300, Orange, CA 92868-1638Phone(714) 456-7890FaxUnlisted FaxMailing LocationMailing Address243 Fieldcrest St, Ann Arbor, MI 48103-6421Phone(914) 924-8792FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer