Individual provider Active NPI

Beverly Ann Dorsey-Funk, PAC

  • Medical Physician Assistant
  • Furlong, PA
National Provider Identifier
1841514890
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060277 Issued in PA
Practice address
2325 Heritage Center Dr Ste 116
Furlong, PA 18925-1262
Phone
(215) 794-2462
Fax
(215) 794-8496
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060277 PA Primary

Addresses

Primary practice location

2325 Heritage Center Dr Ste 116
Furlong, PA 18925-1262

Mailing address

2325 Heritage Center Dr Ste 116
Furlong, PA 18925-1262
Phone (215) 794-2462

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190529001571 PA Practitioner - Physician Assistant 3870779150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma and Arthritis Associates P CGroup PAC ID 5395731566, 3 clinicians

Practice addresses (Care Compare)

103 Progress Dr
Suite 100
Doylestown, PA 18901-2511
Phone (215) 345-6332

4 Terry Dr
Suite 10
Newtown, PA 18940-1882
Phone (215) 968-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Cnty Allergy & Asthma Assc PC Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1841514890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 HERITAGE CENTER DR STE 116",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251262",
            "telephone_number": "215-794-2462",
            "fax_number": "215-794-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 HERITAGE CENTER DR STE 116",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251262",
            "telephone_number": "215-794-2462",
            "fax_number": "215-794-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY-FUNK",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Furlong, PA

Sources for this page

Verify at the official NPI Registry.