Individual ProviderBeth CulbertsonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215-3678(414) 649-3240PECOS EnrollmentBased on the most recent information from CMS, provider Beth Culbertson 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 11:26 AM.Profile DetailsProvider ID1780195800Provider TypeIndividualFull NameCulbertson, BethCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date10/16/2017Last Updated11/14/2023Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215-3678Phone(414) 649-3240Fax(414) 649-3244Mailing LocationMailing Address8222 203rd Ave, Bristol, WI 53104-9714PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID100072752DescriptionMedicaidIssuerUnlistedWisconsin