Dorothy A Perillo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA000784L Issued in PA

Practice address

750 E Broad St
Hazleton, PA 18201-6835

Phone

(570) 455-6385

NPI assigned

Oct 31, 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

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

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Counseling ServicesGroup PAC ID 5799768115, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Northeast Counseling Services

  • Clinic/Center
  • Hazle Township, PA
  • NPI 1649608530
  Medicare reassignment Care Compare group NPD
• Luzerne Wyoming County Mental Health Center #1

  dba Community Counseling Services of NEPA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilkes Barre, PA
  • NPI 1487774824
  NPD (past)
• Luzerne Wyoming County Mental Health Center #1

  dba Behavioral Health Services of Wyoming Valley

  • Psychiatric Hospital
  • Kingston, PA
  • NPI 1861425159
  NPD (past)

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

• Lehigh Valley Hospital Hazleton

  dba Hazleton General Hospital

  • General Acute Care Hospital
  • Hazleton, PA
  • NPI 1548322720
  Care Compare affiliation

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1447336599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-455-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-455-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLO",
        "first_name": "DOROTHY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA000784L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald A Patten, M.D.
• Pavilion at St. Luke Village Facility Operations, LLC (The Pavilion at St. Luke Village)
• Melissa Pavlick, MSPT
• Russell Pearson
• Megan Rileigh Peifer
• Christina Perry
• Shelby Linn Petro, LSW
• Gina Pfeiffer, MSOT
• Homiler Elie Phanor
• Physicisns Clinical Laboratory

• Physician Assistant in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.