Individual provider Active NPI

Teresa Elizabeth Rose Pokita, PAS

  • Medical Physician Assistant
  • Beaver, PA
National Provider Identifier
1578030391
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
250 College Ave
Beaver, PA 15009-2706
Phone
(724) 774-4070
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

250 College Ave
Beaver, PA 15009-2706

Mailing address

250 College Ave
Beaver, PA 15009-2706
Phone (724) 774-4070

Other names 1

  • Tess E Pokita Other name

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
I20181220002154 PA Practitioner - Physician Assistant 0446595318 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: teresascibilia@hvhs.allscriptsdirect.net

Organizations & group practices 2

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1578030391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092706",
            "telephone_number": "724-774-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092706",
            "telephone_number": "724-774-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKITA",
        "first_name": "TERESA",
        "middle_name": "ELIZABETH ROSE",
        "credential": "PAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "POKITA",
            "middle_name": "E",
            "credential": "PAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.