Individual provider Active NPI

Anne E Wilmoth

  • Physician Assistant
  • Meadville, PA
National Provider Identifier
1710315569
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056342 Issued in PA
Practice address
280 Clinton CT
Meadville, PA 16335-3362
Phone
(814) 333-8277
Fax
(814) 333-6203
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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 MA056342 PA Primary
Medical Physician Assistant 363AM0700X MA056342 PA

Addresses

Primary practice location

280 Clinton CT
Meadville, PA 16335-3362

Mailing address

280 Clinton CT
Meadville, PA 16335-3362
Phone (814) 333-8277

Other identifiers 1

IdentifierTypeStateIssuer
P01510431OtherPAMEDICARE RAILROAD

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
I20140107000857 PA Practitioner - Physician Assistant 1658509120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebecca D. Lashbrook, MD, PCGroup PAC ID 2961581590, 2 clinicians

Practice addresses (Care Compare)

280 Clinton CT
Meadville, PA 16335-3362
Phone (814) 333-8277

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca D Lashbrook, MD, PC Current Accepting new patients

Locations

280 Clinton Ct
Meadville, PA 16335
Phone (814) 333-6288

Interoperability endpoints

  • Direct secure messaging: annea@drlashbrook.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1710315569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CLINTON CT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353362",
            "telephone_number": "814-333-8277",
            "fax_number": "814-333-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CLINTON CT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353362",
            "telephone_number": "814-333-8277",
            "fax_number": "814-333-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOTH",
        "first_name": "ANNE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056342",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01510431",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.