Elizabeth Mercer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1019514 Issued in NY

Practice address

10 Arrowood Dr
Ithaca, NY 14850-1857

Phone

(607) 753-3705

NPI assigned

Jul 10, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1801820105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 WESTVALE DR",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459110",
            "telephone_number": "607-753-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ARROWOOD DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501857",
            "telephone_number": "607-753-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "ELIZABETH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1019514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01641996",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Melen, LCSW-R
• Elizabeth Anne Mellin, PHD, LPC
• Bernard Member, M.D.
• Rebecca Menard
• Meraki Community Birth Center
• J. Tyson Merrill, PSY.D.
• Jessica Messersmith
• James C Metcalf, MD
• Jennifer Metzgar, NP
• Samantha Meyer

• Physician Assistant in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.