Individual ProviderMatthew SmithbauerPhysician 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 Matthew Smithbauer 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 ID1558634634Provider TypeIndividualFull NameSmithbauer, MatthewCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date2/20/2012Last Updated2/20/2012Contact InformationPractice LocationPractice Address1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003-6379Phone(304) 243-3124Fax(304) 243-6343Mailing LocationMailing Address1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003-6379Phone(304) 243-3124Fax(304) 243-6343Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense01537West VirginiaProvider IdentifiersIDDescriptionIssuerID01537DescriptionOtherIssuerLICENSEWest Virginia