Individual ProviderDawn WentleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4815 Liberty Ave Ste 322, Pittsburgh, PA 15224-2156(412) 578-4484PECOS EnrollmentBased on the most recent information from CMS, provider Dawn Wentley 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 10:04 AM.Profile DetailsProvider ID1194048355Provider TypeIndividualFull NameWentley, DawnCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date3/2/2010Last Updated10/2/2020Contact InformationPractice LocationPractice Address4815 Liberty Ave Ste 322, Pittsburgh, PA 15224-2156Phone(412) 578-4484Fax(412) 578-3536Mailing LocationMailing Address4815 Liberty Ave Ste 322, Pittsburgh, PA 15224-2156Phone(412) 578-4484Fax(412) 578-3536Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP010576Pennsylvania