Active NPI
Daniel Scott Telega, PA-C
- Physician Assistant
- Erie, PA
National Provider Identifier
1669719720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA000305L
- Practice address
- 2910 State Street
Erie, PA 16508-4747 - Phone
- (814) 454-5686
- NPI assigned
- Jan 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA000305L | PA | Primary |
| Physician Assistant | 363A00000X | MA002307L | PA |
Addresses
Primary practice location
2910 State Street
Erie, PA 16508-4747
Mailing address
2185 W 8TH St
Erie, PA 16505-4747
Phone (888) 453-5806
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2910 State St
Erie, PA 16508-1832
Phone (814) 464-8311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002307L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stairways Behavioral Health | Physician Assistant | Current | Accepting new patients |
Locations
2910 State St
Erie, PA 16508
Phone (814) 454-5686
2185 W 8th St
Erie, PA 16505
Phone (814) 464-8311
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1669719720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054747",
"telephone_number": "888-453-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 STATE STREET",
"city": "ERIE",
"state": "PA",
"postal_code": "165084747",
"telephone_number": "814-454-5686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELEGA",
"first_name": "DANIEL",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-09",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000305L",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002307L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.