Individual provider Active NPI

Erin Danielle Abunassar, PA

  • Medical Physician Assistant
  • Lewisburg, PA
National Provider Identifier
1578680823
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056328 Issued in PA
Practice address
135 Walter Dr
Lewisburg, PA 17837-7482
Phone
(570) 524-7777
Fax
(570) 523-9165
NPI assigned
Mar 23, 2007
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003463 MD
Medical Physician Assistant 363AM0700X MA056328 PA Primary

Addresses

Primary practice location

135 Walter Dr
Lewisburg, PA 17837-7482

Mailing address

135 Walter Dr
Lewisburg, PA 17837-7482
Phone (570) 524-7777

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
I20131202000625 PA Practitioner - Physician Assistant 6800964032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 Walter Dr
Lewisburg, PA 17837-7411
Phone (570) 524-7777

135 Walter Dr
Lewisburg, PA 17837-7482

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003463MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lewisburg Plastic Surgery and Laser Center CurrentSince Nov 5, 2013 Accepting new patients

Locations

135 Walter Dr
Lewisburg, PA 17837
Phone (570) 524-7777

Interoperability endpoints

  • Direct secure messaging: eabunassar@directaddress.net

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1578680823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WALTER DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377482",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WALTER DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377482",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUNASSAR",
        "first_name": "ERIN",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003463",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.