Individual provider Active NPI

Marena Fares

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1497264691
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
203 N Lime St
Lancaster, PA 17602-2729
Phone
(717) 392-6267
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 Primary

Addresses

Primary practice location

203 N Lime St
Lancaster, PA 17602-2729

Mailing address

2823 Marietta Ave
Lancaster, PA 17601-2101

Other practice location 1

1936 Powder Mill Rd
York, PA 17402-4744
Phone (717) 741-0811

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
I20190306001350 PA Practitioner - Physician Assistant 5193064392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Physicians IncGroup PAC ID 4082651765, 12 clinicians

Practice addresses (Care Compare)

1613 Oregon Pike
Lancaster, PA 17601-4335
Phone (717) 947-4148

203 N Lime St
Lancaster, PA 17602-2729
Phone (717) 392-6267

230 N Lime St
Lancaster, PA 17602-2729

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as group
Quality
93.55
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologist of Lancaster LLC PastSince Aug 4, 2024 Accepting new patients
Stanton S. Lebouitz, M.D., P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mfares@directaddress.net

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1497264691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022729",
            "telephone_number": "717-392-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1936 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024744",
            "country_code": "US",
            "telephone_number": "717-741-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARES",
        "first_name": "MARENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.