Look up the most recent NPI and PECOS records

Melissa Wilson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

200 Lothrop St, Pittsburgh, PA 15213-2546

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Wilson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1649227109
Provider Type
Individual
Full Name
Wilson, Melissa
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
5/30/2006
Last Updated
8/17/2010

Contact Information

Practice Location

200 Lothrop St, Pittsburgh, PA 15213-2546

(412) 647-3087

Unlisted Fax

Mailing Location

5150 Centre Ave, Pittsburgh, PA 15232-1309

(412) 692-4825

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA052262 Pennsylvania

Melissa Wilson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Petrichevich, Jaclyn

Decaria, Bernadette

Ferguson, Tara Rosemary

Herrem, Michelle Lynn

Senatore, Gina

Casey, Brian

Dykstra, Kiersten

Crum, Abigail G

Martin, Jaclyn E

Bender-Heine, Juliette