Rebecca Mahne

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111777 Issued in FL

Practice address

8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417

Phone

(941) 907-0222

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emily F Arsenault MD PAGroup PAC ID 9739106584, 24 clinicians

Visage Dermatology, LLCGroup PAC ID 2163420621, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Visage Dermatology, LLC

  • Specialist
  • St Petersburg, FL
  • NPI 1932200045
  Medicare reassignment Care Compare group NPD
• Emily F Arsenault MD PA

  • Dermatology Physician
  • Lakewood Ranch, FL
  • NPI 1851587794
  Medicare reassignment Care Compare group
• K Wade Foster MD PA

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1780152645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N LEMON AVE UNIT 225",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364284",
            "telephone_number": "847-977-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHNE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Lynch, FNP
• Danette Lyons, OTR
• Debra Marie Macloud, LMT
• Magnolia Green Dental Care, P.a.
• Desiree Mahiquez, ED.S., NCSP, BCBA
• William Mahoney, M.D.
• Angela Mainolfi
• Making Connections Counseling, Inc.
• Manasota Therapeutics LLC
• Manatee Pathology Associates PA

• Physician Assistant in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.