Individual ProviderLydia WheelerLicensed Practical NurseNursing Service ProvidersPractice Address284 Cascade Pl, Irondequoit, NY 14609-1535(585) 217-6023PECOS EnrollmentBased on the most recent information from CMS, provider Lydia Wheeler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1740034859Provider TypeIndividualFull NameWheeler, LydiaTitleMrs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date4/15/2024Last Updated4/15/2024Contact InformationPractice LocationPractice Address284 Cascade Pl, Irondequoit, NY 14609-1535Phone(585) 217-6023FaxUnlisted FaxMailing LocationMailing Address284 Cascade Pl, Irondequoit, NY 14609-1535Phone(585) 217-6023FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense340876-01New York