Anthony Francis Polcino

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1504 Rose LN
North Wales, PA 19454-3621

Phone

(267) 663-8182

NPI assigned

Oct 23, 2017

Last updated

Oct 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Valley Orthopedics PCGroup PAC ID 6901899111, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
• St Luke's Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9299/brand/1/csg/1/fhir/r4
• Direct secure messaging: anthony.polcino.1@9299.direct.athenahealth.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.

• Mountain Valley Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • East Stroudsburg, PA
  • NPI 1538226519
  Medicare reassignment Care Compare group
• Mountain Valley Orthopedics PC

  • Pharmacy
  • Tobyhanna, PA
  • NPI 1376959569
  NPD (past)

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

• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation
• St. Luke's Hospital Monroe Campus

  • General Acute Care Hospital
  • Stroudsburg, PA
  • NPI 1396194197
  Care Compare affiliation

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1598276040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 ROSE LN",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 ROSE LN",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543621",
            "telephone_number": "267-663-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCINO",
        "first_name": "ANTHONY",
        "middle_name": "FRANCIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen L. Phillips, L.C.S.W.
• Phillys Finest Home Care Company
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Tyrika Simone Pierce, PMHNP-BC
• Madison Taylor Pisut
• Gabriella Ann Polera, DPT
• Amy Beth Poppel, LCSW
• Popular Home Care, LLC
• Tammy L. Portolese, D.C.
• Steven Ira Present, DMD

• Physician Assistant in North Wales, PA
• Providers in North Wales, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.