Carly Potchak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1 Hospital Way
Butler, PA 16001-4670

Phone

(724) 285-0823

Fax

(724) 285-0879

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment Care Compare group NPD
• Heritage Valley Multispecialty Group, Inc.

  • Internal Medicine Physician
  • Beaver, PA
  • NPI 1528015401
  Medicare reassignment
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Heritage Valley Multispecialty Group, Inc

  • Orthopaedic Surgery Physician
  • Beaver, PA
  • NPI 1073089918
  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Butler Healthcare Providers

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  Care Compare affiliation
• Butler Healthcare Providers

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
  • NPI 1558428573

  Hospital

  Care Compare affiliation
• Butler Memorial Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Butler, PA
  • NPI 1821162314
  Care Compare affiliation

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1154849917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTCHAK",
        "first_name": "CARLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Pollino
• Amy L. Pomaybo, LCSW
• Marc B Pomerantz, M.D.
• Amber Marie Portik
• David Portman, PHARM.D.
• Laurie L Powell, CMW
• Chelsey Nicole Powers, RDH
• Laxman Prajapat, MD
• Mahadevappa M Prasad, MD
• Preferred Physical Therapy Inc

• Physician Assistant in Butler, PA
• Providers in Butler, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.