Lorena Ysel Medina, MSPAS-PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07120 Issued in TX

Practice address

401 S Woodland Dr
Pharr, TX 78577-5213

Phone

(956) 460-6632

NPI assigned

Feb 22, 2011

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Female

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 TX

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dona E Cooper Dockery MD PAGroup PAC ID 1052360500, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Dona E Cooper Dockery MD PA

  dba Cooper Internal Medicine

  • Internal Medicine Physician
  • McAllen, TX
  • NPI 1457455578
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1629375928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S WOODLAND DR",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775213",
            "telephone_number": "956-460-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S WOODLAND DR",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775213",
            "telephone_number": "956-460-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LORENA",
        "middle_name": "YSEL",
        "name_prefix": "Ms.",
        "credential": "MSPAS-PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MDX Advisory LLC
• Medco DME LLC
• Medical Trauma Specialist
• Ilka Abigail Medina, SLP-A
• Jessica Lynn Medina, COTA
• Medizine Health PLLC
• Memory Lane Adult Daycare Inc
• Men's Health Institute PLLC
• David Mercado III, COTA
• Fidencio Mercado, LCDC

• Physician Assistant in Pharr, TX
• Providers in Pharr, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.