Emily Devins
Individual provider Active NPI Physician Assistant · East Syracuse, NM
NPI 1669844494 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1669844494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 019254 (NY)
- Practice address
- 6949 Brittonfield Parkway
East Syracuse, NM 13057 - Phone
- (315) 634-6699
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- State University of Ny Upstate Medical University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Josephs Medical PC
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
4939 Brittonfield Pkwy
Suite 202
East Syracuse, NY 13057-9208
Phone (315) 634-6699
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
- St Joseph'S Hospital Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151208002341 | NY | Practitioner - Physician Assistant | 9537469929 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Medical PC | Current | Accepting new patients |
Locations
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019254 | NY | Yes |
Addresses
Primary practice location
6949 Brittonfield Parkway
East Syracuse, NM 13057
Mailing address
6949 Brittonfield Parkway
East Syracuse, NY 13057
Phone (315) 634-6699
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.