Individual ProviderNicholas PrenattPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003-6379(304) 243-3124PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas Prenatt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1518281963Provider TypeIndividualFull NamePrenatt, NicholasCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date3/15/2010Last Updated3/15/2010Contact InformationPractice LocationPractice Address1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003-6379Phone(304) 243-3124Fax(304) 243-1038Mailing LocationMailing Address1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003-6379Phone(304) 243-3124Fax(304) 243-1038Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePENDING 3/8/2010West VirginiaProvider IdentifiersIDDescriptionIssuerID1089846DescriptionOtherIssuerNATIONAL BOARD CERTIFICATIONPennsylvania