Individual provider Active NPI

Jean Marie Pohlot, PA-C

  • Physician Assistant
  • Bentleyville, PA
National Provider Identifier
1366448516
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002213L Issued in PA
Practice address
119 Wilson Rd
Bentleyville, PA 15314-1027
Phone
(724) 239-4700
Fax
(724) 239-3262
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA002213L PA Primary

Addresses

Primary practice location

119 Wilson Rd
Bentleyville, PA 15314-1027

Mailing address

119 Wilson Rd
Bentleyville, PA 15314-1027
Phone (724) 239-4700

Other practice location 1

17 Arentzen Blvd Ste 204
Charleroi, PA 15022-1085
Phone (724) 489-0220

Other identifiers 1

IdentifierTypeStateIssuer
103427030014MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpohlot35845@direct.acumenmd.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070112000012 PA Practitioner - Physician Assistant 6406856699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Center, IncGroup PAC ID 9335040450, 8 clinicians
Pittsburgh Kidney Care LLCGroup PAC ID 1658664578, 15 clinicians

Practice addresses (Care Compare)

119 Wilson Rd
Bentleyville, PA 15314-1027
Phone (724) 239-4700

1200 McKean Ave
Suite 104
Charleroi, PA 15022-2141

575 Coal Valley Rd
Suite 204
Clairton, PA 15025-3724
Phone (412) 466-2220

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002213LPAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jpohlot35845@direct.acumenmd.com
  • Direct secure messaging: jean.pohlot@swmc.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1366448516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-4700",
            "fax_number": "724-239-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-4700",
            "fax_number": "724-239-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Arentzen Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Charleroi",
            "state": "PA",
            "postal_code": "150221085",
            "country_code": "US",
            "telephone_number": "724-489-0220",
            "fax_number": "724-489-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POHLOT",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002213L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103427030014",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpohlot35845@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "17 Arentzen Blvd Ste 204",
            "city": "Charleroi",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150221085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bentleyville, PA

Sources for this page

Verify at the official NPI Registry.