Mary Ann Beck Corsello, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106112 Issued in FL

Practice address

525 Okeechobee Blvd
City Tower Place 14TH Floor
West Palm Beach, FL 33401-6349

Phone

(561) 804-0200

Fax

(561) 804-0222

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbeckcorsellopa236824@direct.ccf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Clinic Regional Physicians LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1043470453
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)
• West Side Internal Medicine Inc

  • Physician Assistant
  • North Olmsted, OH
  • NPI 1194821892
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1023068962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OKEECHOBEE BLVD",
            "address_2": "CITY TOWER PLACE 14TH FLOOR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016349",
            "telephone_number": "561-804-0200",
            "fax_number": "561-804-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OKEECHOBEE BLVD",
            "address_2": "CITY TOWER PLACE 14TH FLOOR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016349",
            "telephone_number": "561-804-0200",
            "fax_number": "561-804-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK CORSELLO",
        "first_name": "MARY ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000502699",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0F7C",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1023068962",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AV MED",
            "identifier": "364100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garry JF Beauzile, MD
• Beaver & Kirshner, PA (Infinity Medical & Rehab)
• Brian M Beaver, MD
• Ahmed E Bebawi, D.D.S.
• Yaine Bechara Lorenzo, RBT
• Julianne Beck, LMT
• Mary L Beck, OTR/L
• Shaina Beck
• Samuel Becker, M.D.
• Summer Becker

• Medical Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.