Individual ProviderAndrew WirthPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2309 W Cone Blvd Ste 110, Greensboro, NC 27408-4045(336) 890-8902(734) 578-4074PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Wirth 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 11:21 AM.Profile DetailsProvider ID1619605250Provider TypeIndividualFull NameWirth, AndrewCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date8/11/2022Last Updated8/11/2022Contact InformationPractice LocationPractice Address2309 W Cone Blvd Ste 110, Greensboro, NC 27408-4045Phone(336) 890-8902FaxUnlisted FaxMailing LocationMailing Address24581 Enchanted Dr, Novi, MI 48374-2947Phone(734) 578-4074FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer