Melissa Teneil Ayala, PA-C
Individual provider Active NPI Physician Assistant · PT. Byron, NY
NPI 1801125877 · NPPES record last updated Nov 19, 2014
Key facts
- NPI
- 1801125877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 017168 (NY)
- Practice address
- 60 Main Street
PT. Byron, NY 13140 - Phone
- (315) 776-9700
- Fax
- (315) 776-9701
- NPI assigned
- Dec 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Reach Medical PLLC
Practice addresses (Care Compare)
1001 W Seneca St
Ithaca, NY 14850-3342
Phone (607) 273-7000
402 N Cayuga St
Ithaca, NY 14850-4291
Phone (607) 273-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100430000403 | MA | Practitioner - Physician Assistant | 4981739133 | Reassigns benefits to 2 organizations |
| I20140728000515 | NY | Practitioner - Physician Assistant | 4981739133 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017168 | NY | MD | Speech-Language Pathologist |
| PA3913 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Emergency Physicians, LLP | Current |
Accepting new patients | |
| Urgent Care Operations PC | Current |
Accepting new patients | |
| Urgent Care Operations, PC | Current |
Accepting new patients | |
| Finger Lakes Community Health | Current |
Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients | |
| Syracuse Community Health Center, Inc. | Past | Accepting new patients |
Locations
75 Remit Dr
Chicago, IL 60675
50 Dodge St
Ste 104
Beverly, MA 01915
Phone (978) 922-2171
1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456
601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
Interoperability endpoints
- melissa.ayala.1@17251.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3913 | MA | |
| Physician Assistant | 363A00000X | 017168 | NY | Yes |
Addresses
Primary practice location
60 Main Street
PT. Byron, NY 13140
Mailing address
601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017168 | Other | NY | LICENSE |
Other providers in PT. Byron, NY
All providers in PT. Byron, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2014. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.