Daniel T Bender, PA-C, MPA-S
Individual provider Active NPI Physician Assistant · Orbisonia, PA
NPI 1265736664 · NPPES record last updated Dec 29, 2010
Key facts
- NPI
- 1265736664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- OA002377 (PA)
- Practice address
- 626 Water Street
Orbisonia, PA 17243 - Phone
- (814) 447-5556
- NPI assigned
- Dec 29, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Gastroenterology Associates of Lancaster, LTD.
Practice addresses (Care Compare)
152 Zeman Dr
Suite 201
Ebensburg, PA 15931-4130
Phone (814) 946-5469
2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600
810 Valley View Blvd
Altoona, PA 16602-6342
Phone (814) 946-5469
Hospital & facility affiliations
- Upmc Altoona
- Conemaugh Nason Medical Center
- Penn Highlands Huntingdon
- Upmc Bedford Memorial
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180913003376 | PA | Practitioner - Physician Assistant | 0941518641 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA002377 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA002377 | PA | Yes |
Addresses
Primary practice location
626 Water Street
Orbisonia, PA 17243
Mailing address
PO Box 40
Orbisonia, PA 17243
Phone (814) 447-5556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008434780002 | Medicaid | PA |
Other providers in Orbisonia, PA
- Justin Becker
- Broad Top Area Medical Center Inc
- Broad Top Area Medical Center Inc
- Brandy Colleen Buckley
- Carrie Claycomb
- Seth R Davis
All providers in Orbisonia, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.