Bethany Vernocy Jablunovsky, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA 051260 Issued in PA

Practice address

835 Hospital Road
Emergency Department
Indiana, PA 15701-0788

Phone

(724) 357-7121

Fax

(724) 357-7479

NPI assigned

Jun 22, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Indiana Healthcare Physician Services Inc

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429
  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Connellsville, PA
  • NPI 1699163576
  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Saint Clair, PA
  • NPI 1720545320
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790721959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL ROAD",
            "address_2": "PO BOX 788",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157010788",
            "telephone_number": "724-357-7009",
            "fax_number": "724-357-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL ROAD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157010788",
            "telephone_number": "724-357-7121",
            "fax_number": "724-357-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLUNOVSKY",
        "first_name": "BETHANY",
        "middle_name": "VERNOCY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA 051260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irmc Urgicare at Indiana
• Irmc/BHS Multispecialty Physician Group Inc
• Rebekah Isenberg
• Mohammed N. Islam, MD
• Ruslan Ivanov, MA
• Monica Lynn Jacobs, MED, LPC
• Jamil Ahmed MD PC
• Jano Radiation Oncology Group PC
• Lori Jarvie, M.S.
• Julia Jasiewicz

• Medical Physician Assistant in Indiana, PA
• Providers in Indiana, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.