Matthew Michael Cummings, PA-C

Individual provider Active NPI Physician Assistant · Wilkes Barre, PA

NPI 1780133306 · NPPES record last updated Aug 31, 2020

Key facts

NPI
1780133306
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone
(570) 808-6113
Fax
(570) 808-6349
NPI assigned
Sep 23, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic (3,432 clinicians)

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

3 W Olive St
Scranton, PA 18508-2572
Phone (570) 207-5970

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170316000978 PA Practitioner - Physician Assistant 9234414186 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current
since Dec 27, 2016
Accepting new patients
Geisinger Clinic Physician Assistant Current
since Dec 27, 2016
Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mcummings139286@direct.geisinger.edu Direct

Other providers in Wilkes Barre, PA

All providers in Wilkes Barre, PA · Physician Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.