Individual ProviderAngela WheelerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressEmile 42nd St, Omaha, NE 68198-1080(402) 559-8000PECOS EnrollmentBased on the most recent information from CMS, provider Angela Wheeler 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 2 days ago.Profile DetailsProvider ID1508280660Provider TypeIndividualFull NameWheeler, AngelaGenderFemaleSole ProprietorNoEnumeration Date2/10/2014Last Updated2/10/2014Contact InformationPractice LocationPractice AddressEmile 42nd St, Omaha, NE 68198-1080Phone(402) 559-8000Fax(402) 559-8746Mailing LocationMailing Address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102Phone(402) 559-8000Fax(402) 559-8746Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1779NebraskaProvider IdentifiersIDDescriptionIssuerID1779DescriptionOtherIssuerNE STATE LICENSENebraska