Emily Bush, PA-C
Individual provider Active NPI Physician Assistant · Wilkes Barre, PA
NPI 1831870989 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1831870989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA065003 (PA)
- Practice address
- 1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001 - Phone
- (570) 808-7300
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 31
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
H2 Health and Rehabilitation Services LLC
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300
506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366
950 E Mountain Blvd
Wilkes Barre, PA 18702-7924
Phone (570) 808-5770
Hospital & facility affiliations
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community Medical Center
- John Heinz Institute of Rehabilitation Medicine
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 |
|---|---|---|---|---|
| I20231120003689 | PA | Practitioner - Physician Assistant | 2769830371 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065003 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
950 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 808-3290
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA065003 | PA | Yes |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other providers in Wilkes Barre, PA
- Kevin P Burkhardt
- Brian K Burns
- Joshua Burns
- Robert Burry
- Christina Marie Busch
- Gretchen M Bush
- Emily Bushee
- Michelle Jeanne Butcher
- Patricia A Butler
- Allison Butterfield
All providers in Wilkes Barre, PA · 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 Dec 21, 2023. 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.