Wendy Sue Allenby, PAC
Individual provider Active NPI Physician Assistant · Wheeling, WV
NPI 1043300759 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1043300759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 01235 (WV)
- Practice address
- 30 Medical Park
Suite 233
Wheeling, WV 26003-6391 - Phone
- (304) 242-9560
- Fax
- (304) 242-4840
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wheeling Hospital Inc
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
107 Plaza Dr
Saint Clairsville, OH 43950-8786
Phone (740) 695-1381
30 Medical Park
Wheeling, WV 26003-6391
Hospital & facility affiliations
- Wheeling Hospital, Inc
- Trinity Medical Ctr East &Trinity Medical Ctr West
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141016002762 | WV | Practitioner - Physician Assistant | 1254552128 | Reassigns benefits to 1 organization |
| I20260225001503 | OH | Practitioner - Physician Assistant | 1254552128 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01235 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Current |
Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480
107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
30 Medical Park
Ste 233
Wheeling, WV 26003
Phone (304) 242-9560
30 Medical Park
Ste 219
Wheeling, WV 26003
Phone (304) 243-7160
30 Medical Park
Ste 232
Wheeling, WV 26003
Phone (304) 243-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01235 | WV | Yes |
Addresses
Primary practice location
30 Medical Park
Suite 233
Wheeling, WV 26003-6391
Mailing address
118 N 20TH St
Wheeling, WV 26003-7004
Phone (304) 780-9860
Other names
- Wendy Sue Ullom
Other providers in Wheeling, WV
- Alecto Healthcare Services Wheeling LLC
- Alecto Healthcare Services Wheeling LLC
- Alecto Wheeling Physicians, Inc.
- All About You Home Health Care, LLC
- Kenneth Scott Allen
- Alliance Behavioral Care, PLLC
- Hazel June Alloway
- Vicente P Almario
- Alternative Home Health, Inc
- Cassidy Nicole Altmeyer
All providers in Wheeling, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.