Individual ProviderJoanna PekovitchNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669(414) 281-4466(800) 326-2250PECOS EnrollmentBased on the most recent information from CMS, provider Joanna Pekovitch 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 2 days ago.Profile DetailsProvider ID1699588426Provider TypeIndividualFull NamePekovitch, JoannaGenderFemaleSole ProprietorNoEnumeration Date1/27/2025Last Updated8/25/2025Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669Phone(414) 281-4466FaxUnlisted FaxMailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(800) 326-2250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense15797-33WisconsinCode363LA2100XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense15797-33WisconsinProvider IdentifiersIDDescriptionIssuerID100313801DescriptionMedicaidIssuerUnlistedWisconsin