Individual provider Active NPI

Andrea Mary Seney, PA-C

  • Physician Assistant
  • Dartmouth, MA
National Provider Identifier
1417675323
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009186 Issued in IL
Practice address
1210 Old Fall River Rd
Dartmouth, MA 02747-1158
Phone
(774) 488-4556
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 085.009186 IL Primary

Addresses

Primary practice location

1210 Old Fall River Rd
Dartmouth, MA 02747-1158

Mailing address

1210 Old Fall River Rd
Dartmouth, MA 02747-1158
Phone (774) 488-4556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20221026002572 IL Practitioner - Physician Assistant 9234505603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cermak Medical Group LLCGroup PAC ID 7113269242, 21 clinicians

Practice addresses (Care Compare)

1669 Algonquin Rd
Rolling Meadows, IL 60008-4290
Phone (847) 258-4500

2380 S Elmhurst Rd
Mt Prospect, IL 60056-5805
Phone (708) 222-0100

5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.009186ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Sep 15, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 15, 2022 Accepting new patients

Locations

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1417675323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 OLD FALL RIVER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471158",
            "telephone_number": "774-488-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 OLD FALL RIVER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471158",
            "telephone_number": "774-488-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENEY",
        "first_name": "ANDREA",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.