Patricia A Ellement, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006957 Issued in NY

Practice address

3 Irongate Ctr
Glens Falls, NY 12801-3471

Phone

(518) 793-4409

Fax

(518) 615-0140

NPI assigned

Jul 12, 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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: patriciae@irongatefamilypractice.medentdirect.com

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.

• Irongate Family Practice Associates PLLC

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1851326326
  Medicare reassignment

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083649560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CTR",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-793-4409",
            "fax_number": "518-615-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CTR",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-793-4409",
            "fax_number": "518-615-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEMENT",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Egnaczyk, LPN
• Andrea Eichler, RNFA
• Thomas Eigo, D.D.S.
• Jada Marie Eisenhardt
• Kayla Rose Elder, LCSW
• Lauren E Ellis, NPP
• Craig Alan Emblidge, M.D.
• Andrea Engel, LMFT
• Linda L Englert, LCSW-R, PH.D.
• Maxwell English, LMSW

• Physician Assistant in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.