Individual provider Active NPI

Ashley Bevak

  • Medical Physician Assistant
  • Brookville, PA
National Provider Identifier
1619353174
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057742 Issued in PA
Practice address
477 Route 28
Brookville, PA 15825-7159
Phone
(814) 849-3035
Fax
(814) 849-4341
NPI assigned
Aug 7, 2015
Last updated
Jun 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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 MA057742 PA Primary

Addresses

Primary practice location

477 Route 28
Brookville, PA 15825-7159

Mailing address

477 Route 28
Brookville, PA 15825-7159
Phone (814) 849-3035

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
I20160120000297 PA Practitioner - Physician Assistant 9032412499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Associates of Western Pennsylvania PCGroup PAC ID 0547208308, 7 clinicians

Practice addresses (Care Compare)

477 Route 28
Brookville, PA 15825-7159
Phone (814) 849-3034

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057742PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates of Western PA. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley@pcaofwpa.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1619353174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 28",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257159",
            "telephone_number": "814-849-3035",
            "fax_number": "814-849-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 28",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257159",
            "telephone_number": "814-849-3035",
            "fax_number": "814-849-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAK",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.