Mary Kay Palilla, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA000099L Issued in PA

Practice address

10261 State Route 85
Kittanning, PA 16201

Phone

(724) 783-7124

Fax

(724) 783-7999

NPI assigned

Sep 20, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285732347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 STATE ROUTE 85",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "724-783-7124",
            "fax_number": "724-783-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 STATE ROUTE 85",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "724-783-7124",
            "fax_number": "724-783-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALILLA",
        "first_name": "MARY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000099L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan William Olsen, D.C.
• Ondich Rural Health Center
• Michael P Ondich, D.O.
• John D Opalka, O.D.
• Taylor Leigh Page, PA-C
• Beth Papas
• Jessica Nicole Pastva, DNP
• Mahendra L Patil, MD
• Eric Lane Patterson, L.P.C.
• Paul Robert Patterson, DO

• Medical Physician Assistant in Kittanning, PA
• Providers in Kittanning, 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 Jul 8, 2007; 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.