Individual ProviderWestin KniggePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3631(414) 649-6780(800) 326-2250PECOS EnrollmentBased on the most recent information from CMS, provider Westin Knigge 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 yesterday at 11:26 AM.Profile DetailsProvider ID1013723139Provider TypeIndividualFull NameKnigge, WestinGenderMaleSole ProprietorYesEnumeration Date12/4/2024Last Updated2/17/2025Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3631Phone(414) 649-6780FaxUnlisted FaxMailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(800) 326-2250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense8075WisconsinProvider IdentifiersIDDescriptionIssuerID100298327DescriptionMedicaidIssuerUnlistedWisconsin