Individual provider Active NPI

Garrick E Drabina, PA-C

  • Medical Physician Assistant
  • Meadville, PA
National Provider Identifier
1023445830
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056507 Issued in PA
Practice address
11277 Vernon PL Ste 200
Meadville, PA 16335-3719
Phone
(814) 724-1252
Fax
(814) 333-8871
NPI assigned
Oct 11, 2013
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056507 PA Primary

Addresses

Primary practice location

11277 Vernon PL Ste 200
Meadville, PA 16335-3719

Mailing address

2315 Myrtle St Ste L10
Erie, PA 16502-4611
Phone (814) 454-2401

Other practice location 1

2315 Myrtle St Ste L10
Erie, PA 16502-4611
Phone (814) 454-2401

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdrabina148768@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119000238 PA Practitioner - Physician Assistant 6305072547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Orthopedic Associates of Meadville, P.C.Group PAC ID 0446151864, 17 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

11277 Vernon PL
Suite 200
Meadville, PA 16335-3719
Phone (814) 724-1252

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Aug 30, 2015 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

204 W 26th St
Erie, PA 16508
Phone (814) 454-2401

2315 Myrtle St
Ste L10
Erie, PA 16502
Phone (814) 452-5555

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1023445830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024611",
            "telephone_number": "814-454-2401",
            "fax_number": "814-459-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11277 VERNON PL STE 200",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353719",
            "telephone_number": "814-724-1252",
            "fax_number": "814-333-8871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Myrtle St Ste L10",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165024611",
            "country_code": "US",
            "telephone_number": "814-454-2401",
            "fax_number": "814-459-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRABINA",
        "first_name": "GARRICK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdrabina148768@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste L10",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165024611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.