Look up the most recent NPI and PECOS records

Amy Lynn Wing

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

100 Michigan NW, Suite A721, Grand Rapids, MI 49503

PECOS Enrollment

This provider is enrolled in PECOS as AMY WING.

Based on the most recent information from CMS, provider Amy Lynn Wing 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 4 days ago.

Profile Details

Provider ID
1083795504
Provider Type
Individual
Full Name
Wing, Amy Lynn
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
10/18/2006
Last Updated
2/22/2021

Contact Information

Practice Location

100 Michigan NW, Suite A721, Grand Rapids, MI 49503

(616) 974-4493

Unlisted Fax

Mailing Location

100 Michigan St NE, Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601003744 Michigan

Amy Lynn Wing

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ricumstrict, Tekia Elaine

Wainscott, Teresa L

Charleston, Mary Elizabeth

Arnett, Mara Gray

Rogers, Rachel Ann

Ratkowski, Paige Nichole

Rasch, Leah

Bissonette, Gary

Cicerone-Carder, Anina L

Groendyke, Alyssa Renee