Look up the most recent NPI and PECOS records

Thomas D Wendel

Emergency Medicine

Allopathic & Osteopathic Physicians

203 S Candy Ln Ste 13ab, Cottonwood, AZ 86326-4120

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS WENDEL.

Based on the most recent information from CMS, provider Thomas D Wendel 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1750310355
Provider Type
Individual
Full Name
Wendel, Thomas D
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/3/2006
Last Updated
1/9/2024

Contact Information

Practice Location

203 S Candy Ln Ste 13ab, Cottonwood, AZ 86326-4120

(928) 649-1389

(928) 634-5314

Mailing Location

PO Box 35380, Las Vegas, NV 89133-5380

(702) 579-3203

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License G86425 California
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License G86425 California

Provider Identifiers

ID	Description	Issuer
ID 00G864250	Description Medicaid	Issuer Unlisted California

Thomas D Wendel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Eastman, Robert Royal

Piatt, David

Braun, Barbara J

Walker, Corrine

Emergency Physicians Medical Group, Inc

Schlatter, Frances Catherine

Oak Creek Emergency Physicians Llc

Strouse, Connie

Larsen, Sean

Shank, Jacob D.