Look up the most recent NPI and PECOS records

Nina S Wommack

Counselor

Behavioral Health & Social Service Providers

4 Cornerstone Dr, Langhorne, PA 19047-1314

PECOS Enrollment

Based on the most recent information from CMS, provider Nina S Wommack does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1720417819
Provider Type
Individual
Full Name
Wommack, Nina S
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/8/2013
Last Updated
11/8/2013

Contact Information

Practice Location

4 Cornerstone Dr, Langhorne, PA 19047-1314

(215) 757-6916

Unlisted Fax

Mailing Location

4 Cornerstone Dr, Langhorne, PA 19047-1314

(215) 757-6916

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1144329111	Description Medicaid	Issuer Unlisted Pennsylvania

Nina S Wommack

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Denis, Rachelle Marie

Jodlowska, Iwona

Strohl, Karli

Troxel, Winifred L.

Cloud-O'Brien, Christine

Safavi, Leyla

Blyweiss, Noreen

Mannucci, Barbara C.

Silva, Victoria

Ostrow, Haley