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Stacy Miller Wenzel

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2102 Harrisburg Pike, Lancaster, PA 17601-2644

PECOS Enrollment

This provider is enrolled in PECOS as STACY WENZEL.

Based on the most recent information from CMS, provider Stacy Miller Wenzel 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
1760763213
Provider Type
Individual
Full Name
Wenzel, Stacy Miller
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/29/2011
Last Updated
5/3/2018

Contact Information

Practice Location

2102 Harrisburg Pike, Lancaster, PA 17601-2644

(717) 544-9400

(717) 544-9401

Mailing Location

1030 New Holland Avenue, Bldg 12a Suite 200, Lancaster, PA 17601-5690

(717) 544-9400

(717) 544-9401

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP011554 Pennsylvania

Stacy Miller Wenzel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shaub, Kristin

Daniels, Lisa

Aukett, Emily Rose

Fedora, Lisa Ann

Zimmerman, Jay Kyle

Zak, Colleen

Couch, Kathryn Elizabeth

Leonard, Stephanie Lynn

Arnold, Linda J

Byrd, Richard N.