Jaclyn R Combes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

011596 Issued in NY

Practice address

128 Boynton Ave
Plattsburgh, NY 12901

Phone

(518) 324-3399

Fax

(518) 324-3396

NPI assigned

Nov 14, 2007

Last updated

Apr 21, 2014By the provider in NPPES

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 names 1

• Jaclyn R Masters Former name

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

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Country Behavioral Medicine PLLCGroup PAC ID 2668744756, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Country Behavioral Medicine PLLC

  • Psychiatry Physician
  • Plattsburgh, NY
  • NPI 1881121234
  Medicare reassignment Care Compare group NPD
• Adirondack Interventional Physiatry PC

  dba Champlain Spine & Pain Mgt

  • Interventional Pain Medicine Physician
  • Plattsburgh, NY
  • NPI 1821166166
  Medicare reassignment
• Plattsburgh Medical Care, PLLC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1982703070
  Medicare reassignment
• Beach Medical Services

  • Primary Care Clinic/Center
  • Plattsburgh, NY
  • NPI 1881078079
  NPD (past)
• Jonathan Beach DO PLLC

  dba Urgicare of the Northeast

  • Urgent Care Clinic/Center
  • Plattsburgh, NY
  • NPI 1104023910
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1326228701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BOYNTON AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-3399",
            "fax_number": "518-324-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BOYNTON AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-3399",
            "fax_number": "518-324-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBES",
        "first_name": "JACLYN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "MASTERS",
            "middle_name": "R",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle L Collings, CASAC
• Keith G Collins, M.D.
• Tammy Collins, LPN
• Jane Elizabeth Colquhoun, LCSWR
• Laurel E Colvin, FNP-C
• Chelsey Annette Compeau, M.A. SLP
• Condo Pharmacy Inc (Condo Pharmacy LTC)
• Condo Pharmacy Inc (Condo Pharmacy)
• Condo Pharmacy, Inc (Condo Pharmacy)
• Conifer Park, Inc.

• Medical Physician Assistant in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.