Mandy Lynn Abram, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

014845 Issued in NY

Practice address

1150 Youngs Rd
Suite104
Williamsville, NY 14221-8053

Phone

(716) 636-7979

Fax

(716) 636-7993

NPI assigned

Jun 29, 2011

Last updated

Jan 7, 2016By 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 identifiers 1

Other names 1

• Mandy Lynn Hornberger 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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orchard Park Family Practice, PCGroup PAC ID 7517937261, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mandyabram@opfp.medentdirect.com

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.

• Orchard Park Family Practice, PC

  • Family Medicine Physician
  • Orchard Park, NY
  • NPI 1811000979
  Medicare reassignment Care Compare group
• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  Medicare reassignment
• Sharma Medical, PLLC

  • Family Medicine Physician
  • Irving, NY
  • NPI 1457546400
  Medicare reassignment

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

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1447547310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAM",
        "first_name": "MANDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03356952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "HORNBERGER",
            "middle_name": "LYNN",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rashid Abdullah
• Ekhlas Abdulraheem
• Rashida Abdur-Rashid, LPN
• Fadi Aboona
• Hanaa G Abou-Jaoude, PHARMACIST
• Tina Marie Abramo, LPN
• Matthew David Abrams, PH.D.
• David Abt, RN
• Academic Medicine Services, Inc. (UBMD Internal Medicine)
• Access Surgery of Wny PLLC

• Medical Physician Assistant in Williamsville, NY
• Providers in Williamsville, 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 Jan 7, 2016; 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.