Molly Jean Notbohm – Medical Physician Assistant

Key facts

NPI: 1801130893
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: MA055861 (PA)
Practice address: 12311 Perry Hwy
Wexford, PA 15090-8344
Phone: (878) 332-4387
Fax: (412) 332-4490
NPI assigned: Nov 15, 2012
Sex: Female
Sole proprietor: Yes

Organizations & group practices 5

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.

Allegheny Clinic Family Medicine Physician · Bethel Park, PA · NPI 1073081493

Medicare reassignment PA
Butler Medical Providers Gastroenterology Physician · Butler, PA · NPI 1619493046

Medicare reassignment PA
Allegheny Clinic Surgery Physician · Pittsburgh, PA · NPI 1023018447

NPD
Butler Medical Providers Rural Health Clinic/Center · Fairmount City, PA · NPI 1386253854

NPD
Butler Medical Providers Medical Oncology Physician · Clarion, PA · NPI 1639788102

NPD

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 ID	State	Provider type	PAC ID	Details
I20130218000178	PA	Practitioner - Physician Assistant	7416101688	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Status	New patients
Butler Medical Providers	Current since Jan 25, 2016	Accepting new patients
Butler Medical Providers	Current since Jan 25, 2016	Accepting new patients
Allegheny Clinic	Current since Feb 27, 2019	Accepting new patients

Locations

127 Oneida Valley Rd
Ste 203
Butler, PA 16001
Phone (724) 284-5670

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

4815 Liberty Ave
Ste 145
Pittsburgh, PA 15224
Phone (412) 578-4311

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Fl 5
Pittsburgh, PA 15212
Phone (412) 359-6466

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Interoperability endpoints

Direct secure messaging: mthomas10121@direct.ahn.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	MA055861	PA	Yes

Addresses

Primary practice location

12311 Perry Hwy
Wexford, PA 15090-8344

Mailing address

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 332-4387

Other identifiers

Identifier	Type	State	Issuer
103162687	Medicaid	PA
12482518	Other		CAQH

Other names

Molly Jean Thomas Former name

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	mthomas10121@direct.ahn.org

Other providers in Wexford, PA

North Park OB/GYN Associates
North Park OB/GYN Association
North Pittsburgh Imaging Specialists LLC
North Pittsburgh Pediatrics and Adolescent
Northern Counseling Services, LLC
Ashley Notte, PHARM.D.
David J Notte, PHARM.D
Chelsea Novacic, PSYD
Kayla Novosel, AUD
Sarah Nowlen, DPT

All providers in Wexford, PA · Medical 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 Feb 3, 2022. 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.

Verify at the official NPI Registry.