Deborah M. Mendelsohn, PA-C
Individual provider Active NPI Physician Assistant · Waverly, PA
NPI 1740243302 · NPPES record last updated Dec 24, 2020
Key facts
- NPI
- 1740243302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA050677 (PA)
- Practice address
- Lily Lake Rd
Waverly, PA 18471 - Phone
- (570) 563-1112
- Fax
- (570) 563-1138
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA050677 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marworth | Past | Accepting new patients | |
| Marworth | Past | Accepting new patients |
Interoperability endpoints
- deborah.mendelsohn@540.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA050677 | PA | Yes |
Addresses
Primary practice location
Lily Lake Rd
Waverly, PA 18471
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmendelsohn77288@direct.geisinger.edu | Direct |
Other providers in Waverly, PA
- Margaret A Jarvis
- Kimberly Ann Kabernagel
- Aldan J Lori
- Marworth
- Marworth
- Northeast Medical & Oxygen
- Paul A Scheuch Jr.
- Megan Lynn Smith
- Donald Joseph Strasburger Jr.
- David J. Withers
All providers in Waverly, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.