Individual ProviderWendy Jo VavrekPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1 Medical Park, Wheeling, WV 26003-6379(304) 243-3000PECOS EnrollmentThis provider is enrolled in PECOS as WENDY VAVREK.Based on the most recent information from CMS, provider Wendy Jo Vavrek is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1487948493Provider TypeIndividualFull NameVavrek, Wendy JoCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date6/7/2011Last Updated9/5/2018Contact InformationPractice LocationPractice Address1 Medical Park, Wheeling, WV 26003-6379Phone(304) 243-3000Fax(304) 243-3060Mailing LocationMailing Address1 Medical Park, Wheeling, WV 26003-6379Phone(304) 243-3000Fax(304) 243-3060Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1566West VirginiaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense50.003287OhioCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense01566West Virginia