Alina Kotok, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA065569 Issued in PA

Practice address

2928 Peach St
Erie, PA 16508-1843

Phone

(814) 453-6229

NPI assigned

Jun 10, 2024

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Multi-Cultural Health Evaluation Delivery Systems Inc

  dba Mheds

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
  • NPI 1730227307
  Medicare reassignment

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1154163285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081843",
            "telephone_number": "814-453-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOK",
        "first_name": "ALINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Kordes, PH.D.
• Emily Louise Koscienski, BS
• Alexander Kosenko, M.D.
• Kathleen Mary Kosko, SLP
• Jessica Kostelnik, LPC
• Antigoni Kotsiou
• Alisun Elizabeth Kovach, DMD
• Paul George Kovacs, PH D
• Stephen P Kovacs, D.O.
• Jessica N Koval, PA-C

• Medical Physician Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.