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Wendy L Marean

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as WENDY MAREAN.

Based on the most recent information from CMS, provider Wendy L Marean 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 12:14 PM.

Profile Details

Provider ID
1821607383
Provider Type
Individual
Full Name
Marean, Wendy L
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/29/2020
Last Updated
1/21/2021

Contact Information

Practice Location

10 Miller Rd, Sumter, SC 29150-2403

(585) 736-1557

Unlisted Fax

Mailing Location

10 Miller Rd, Sumter, SC 29150-2403

(585) 736-1557

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 24197 South Carolina

Wendy L Marean

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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