Austin Clinger
Individual provider Active NPI Medical Physician Assistant · Clearfield, PA
NPI 1336759604 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1336759604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 519 Williams St Apt 10
Clearfield, PA 16830-1400 - Phone
- (814) 541-1202
- NPI assigned
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, 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 |
|---|---|---|---|---|
| I20220224000175 | SC | Practitioner - Physician Assistant | 5496149056 | Reassigns benefits to 1 organization |
| I20231019000347 | PA | Practitioner - Physician Assistant | 5496149056 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4168 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
519 Williams St Apt 10
Clearfield, PA 16830-1400
Mailing address
519 Williams St Apt 10
Clearfield, PA 16830-1400
Phone (814) 541-1202
Other providers in Clearfield, PA
- Clearfield Hospital
- Clearfield Hospital (Dba Penn Highlands Clearfield Eff 7/01/14)
- Clearfield Pathology Associates, PC
- Clearfield Professional Group, LTD.
- Clearfield-Jefferson CMHC
- Patricia Clouser
- Michaela Ann Cole
- Linde Collingwood
- Adrian Marie Collins
- Colonial Courtyard in-Home Senior Care
All providers in Clearfield, PA · Medical 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 Aug 3, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.