NPIMap

Individual provider Active NPI

Jarrett J Bender, DO

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1477713352
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015005 Issued in PA
Practice address
525 W Main St
Mount Pleasant, PA 15666-1833
Phone
(724) 547-4536
Fax
(724) 547-3799
NPI assigned
Jun 13, 2008
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015005 PA Primary

Addresses

Primary practice location

525 W Main St
Mount Pleasant, PA 15666-1833

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060

Other identifiers 1

IdentifierTypeStateIssuer
102624562MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000094 PA Practitioner - Family Practice 3072783489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-9001

508 S Church St
Mount Pleasant, PA 15666-1702

508 S Church St (Frick Hospital Ca
Excela Health Obstetrics and Gynecology
Mount Pleasant, PA 15666-1702
Phone (724) 539-8581

532 W Pittsburgh St
Greensburg, PA 15601-2239

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Rhino Care Inc Family Medicine CurrentSince Aug 17, 2013 Accepting new patients
Upmc Altoona Past Accepting new patients
Latrobe Area Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

1701 12th Ave
Ste G1
Altoona, PA 16601
Phone (814) 201-6006

138 Veterans Blvd
Duncansville, PA 16635
Phone (814) 696-5219

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

525 W Main St
Mt Pleasant, PA 15666
Phone (724) 547-0825

Interoperability endpoints

  • Direct secure messaging: jarrettbender@emg.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1477713352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661833",
            "telephone_number": "724-547-4536",
            "fax_number": "724-547-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JARRETT",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102624562",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.