Theresa G Kueny, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA055391 Issued in PA

Practice address

500 Evergreen Dr
Suite 20
Glen Mills, PA 19342-1017

Phone

(484) 785-3376

Fax

(610) 358-6913

NPI assigned

Mar 29, 2012

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

Other identifiers 1

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryn Mawr Dermatology PCGroup PAC ID 2668493735, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.19 of 100Reported as group

Quality

93.33

Promoting interoperability

100

Improvement activities

40

Cost

77.31

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.

• Bryn Mawr Dermatology, P.C.

  • Dermatology Physician
  • Villanova, PA
  • NPI 1750448924
  Medicare reassignment Care Compare group
• Associates in Medical and Cosmetic Dermatology, PC

  • Specialist
  • Glen Mills, PA
  • NPI 1477639425
  Medicare reassignment

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1255607677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EVERGREEN DRIVE",
            "address_2": "SUITE 20",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421017",
            "telephone_number": "484-785-3376",
            "fax_number": "610-358-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EVERGREEN DR",
            "address_2": "SUITE 20",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421017",
            "telephone_number": "484-785-3376",
            "fax_number": "610-358-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENY",
        "first_name": "THERESA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255607677",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Krafchick, DO
• Jonathan R Kropf, D.C.
• Joyann Allison Kroser, M.D.
• Michael Benjamin Kuczmarski, DO
• Leah Elizabeth Kuczynski, PT, DPT
• David Kugelman, MD
• Bethany Kutz, MD
• Haley L Kypers, SLP
• Christy Lampley
• Brian Joseph Landi, DO

• Physician Assistant in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.