Look up the most recent NPI and PECOS records

Amy Wang

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2202 State Ave Ste 303b, Panama City, FL 32405-4590

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Wang 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
1720699655
Provider Type
Individual
Full Name
Wang, Amy
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
8/13/2020
Last Updated
11/19/2024

Contact Information

Practice Location

2202 State Ave Ste 303b, Panama City, FL 32405-4590

(850) 769-1462

Unlisted Fax

Mailing Location

2202 State Ave Ste 303b, Panama City, FL 32405-4590

(850) 769-1462

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11008610 Florida

Amy Wang

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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