Sarah Elizabeth Eccker, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA054756 Issued in PA

Practice address

71 Hospital Dr
Towanda, PA 18848-9702

Phone

(570) 265-6300

Fax

(570) 268-2807

NPI assigned

Dec 21, 2010

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1811290489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "address_2": "7703 ULSTER ROAD",
            "city": "ULSTER",
            "state": "PA",
            "postal_code": "188500198",
            "telephone_number": "570-358-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489702",
            "telephone_number": "570-265-6300",
            "fax_number": "570-268-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECCKER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03348661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Dewing, PT
• Mary Donahue
• Kristy Dooley-Reinheimer
• Lynne Duncan, MSSLP
• Madison Nicole Eberlin, OT
• Eckerd Corporation
• Jill Marie Edwards
• Teresa Fairchild-Pitcher, CRNP
• Ferenzi Medical PC
• James C Ferenzi, MD

• Medical Physician Assistant in Towanda, PA
• Providers in Towanda, 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 Jan 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.