NPIMap

Individual provider Active NPI

Bethany Alice Martin, PA-C

  • Physician Assistant
  • Reading, PA
National Provider Identifier
1619472792
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA004535 Issued in PA
Practice address
2500 Bernville Rd
Reading, PA 19605
Phone
(610) 378-2423
NPI assigned
Mar 29, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059919 PA
Physician Assistant 363A00000X OA004535 PA Primary

Addresses

Primary practice location

2500 Bernville Rd
Reading, PA 19605

Mailing address

50 Green Pastures LN
Mifflin, PA 17058-7046

Other practice location 1

50 Green Pastures Ln
Mifflin, PA 17058-7046
Phone (717) 348-3629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918002729 PA Practitioner - Physician Assistant 6305197138 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Urgent Care, LLCGroup PAC ID 2668716069, 57 clinicians

Practice addresses (Care Compare)

1139 Ben Franklin Hwy W
Suite 114
Douglassville, PA 19518-1853
Phone (610) 385-4444

16 Glocker Way
Pottstown, PA 19465-9655
Phone (484) 659-1500

33 W Ridge Pike
Suite 627
Limerick, PA 19468-1824
Phone (610) 226-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.28 of 100Reported as group
Quality
82.46
Promoting interoperability
97
Improvement activities
40
Cost
44.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059919PAMDPhysician Assistant
OA004535PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
St Joseph Regional Health Network CurrentSince Feb 1, 2019 Accepting new patients
Medical Services of Suffolk County PC Multi-Specialty CurrentSince Sep 25, 2023 Accepting new patients
St. Joseph Regional Health Network Multi-Specialty Past Accepting new patients

Locations

108 Plaza Dr
Ste 101
Blandon, PA 19510
Phone (610) 208-4650

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

145 N 6th St
Fl 2
Reading, PA 19601
Phone (610) 208-4558

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 7

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 6

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1619472792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GREEN PASTURES LN",
            "city": "MIFFLIN",
            "state": "PA",
            "postal_code": "170587046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19605",
            "telephone_number": "610-378-2423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Green Pastures Ln",
            "address_purpose": "LOCATION",
            "city": "Mifflin",
            "state": "PA",
            "postal_code": "170587046",
            "country_code": "US",
            "telephone_number": "717-348-3629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BETHANY",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059919",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.