Individual ProviderEmily PuskarichPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6 Lynwood Ave, Wheeling, WV 26003-5949(304) 280-0847PECOS EnrollmentBased on the most recent information from CMS, provider Emily Puskarich 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 ID1437796364Provider TypeIndividualFull NamePuskarich, EmilyTitleMs.GenderFemaleSole ProprietorYesEnumeration Date12/10/2019Last Updated9/22/2020Contact InformationPractice LocationPractice Address6 Lynwood Ave, Wheeling, WV 26003-5949Phone(304) 280-0847FaxUnlisted FaxMailing LocationMailing Address6 Lynwood Ave, Wheeling, WV 26003-5949Phone(304) 280-0847FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer