Look up the most recent NPI and PECOS records

Derek Pivac

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Derek Pivac 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
1922354679
Provider Type
Individual
Full Name
Pivac, Derek
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
7/31/2012
Last Updated
9/19/2022

Contact Information

Practice Location

1 Medical Park, Wheeling, WV 26003-6379

(304) 243-3000

Unlisted Fax

Mailing Location

1 Medical Park, Wheeling, WV 26003-8567

(304) 243-3000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1996 West Virginia

Derek Pivac

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hewitt, Chelsea W

Taylor, Jennifer Anne

Shipley, Lori L

Holub, Sierra Nicole

Burns, Daniel Thomas

Dobson, Jillian Mari

Mcdonald, Ethan Wesley

Coulling, Roberta Pamela

Franke, Alexander E

Hamby, James R