Look up the most recent NPI and PECOS records

Jon-Michael Brunner

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jon-Michael Brunner 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 3 days ago.

Profile Details

Provider ID
1659867216
Provider Type
Individual
Full Name
Brunner, Jon-Michael
Gender
Male

Sole Proprietor
No
Enumeration Date
7/7/2018
Last Updated
7/7/2018

Contact Information

Practice Location

1 Medical Park, Wheeling, WV 26003-6379

(304) 243-3000

Unlisted Fax

Mailing Location

16 Leatherwood Ln Apt 4, Wheeling, WV 26003-6447

(304) 312-3650

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Jon-Michael Brunner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Madia, Elizabeth M

Shipley, Lori L

Allenby, Wendy Sue

Taylor, Jennifer Anne

Jones, Regina A

Marquette, Maria Kimmel

Franke, Alexander E

Busby, Abby Jo

Vavrek, Wendy Jo

Blobner, Lindsey Ann