Bruce T Pecorella, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011447 Issued in NY

Practice address

110 West Sixth Street
Oswego, NY 13126

Phone

(315) 349-5511

NPI assigned

Oct 3, 2006

Last updated

Feb 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Physician Assistant

Education

Albany Medical College of Union University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Padma Ram Medical Services LLCGroup PAC ID 8325019581, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Dr. Padma Ram Medical Services, LLC

  • Internal Medicine Physician
  • Oswego, NY
  • NPI 1902960800
  Medicare reassignment Care Compare group
• Dr. Padma Ram Medical Services, LLC

  • Rural Health Clinic/Center
  • Oswego, NY
  • NPI 1336835024
  NPD
• Lake Ontario Prompt Medical Care, PLLC

  • Rural Health Clinic/Center
  • Oswego, NY
  • NPI 1144918566
  NPD (past)

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

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1184718801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292A DUER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-216-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST SIXTH STREET",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-349-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORELLA",
        "first_name": "BRUCE",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011447",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "011447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Pawlikowski
• Sarah Katherine Paye, LPN
• Sofiya Pazycheva
• Tonya O Peake, MS
• Alexis R Peavey, M.S., CCC-SLP
• Kristen Ashley Pedrotti, DPT
• Camille Pensabene
• Mary A Pensero, RN
• Julie Pento
• Callie Renee Peone, M.S.

• Physician Assistant in Oswego, NY
• Providers in Oswego, 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 Feb 24, 2009; 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.