Desni L Dantone, PA-C
Individual provider Active NPI Medical Physician Assistant · Bedford, PA
NPI 1861494635 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1861494635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- MA051755 (PA)
- Practice address
- 104 Railroad St
Bedford, PA 15522-1013 - Phone
- (814) 263-5804
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hyndman Area Health Center Inc
Practice addresses (Care Compare)
104 Railroad St
Bedford, PA 15522-1013
Phone (814) 263-5804
14 E 3Rd Ave
Everett, PA 15537-1305
Phone (814) 565-3239
227 Franklin St
Suite 304
Johnstown, PA 15901-1916
Phone (814) 634-4968
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 |
|---|---|---|---|---|
| I20210322001267 | PA | Practitioner - Physician Assistant | 2668889510 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-321 | AR | MD | Medical Physician Assistant |
| MA051755 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyndman Area Health Center, Inc | Current |
Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1 Corporate Dr
Ste 107
Bedford, PA 15522
Phone (814) 709-9819
104 Railroad St
Bedford, PA 15522
Phone (814) 263-5804
14 E 3rd Ave
Everett, PA 15537
Phone (814) 565-3239
227 Franklin St
Ste 304
Johnstown, PA 15901
Phone (814) 634-4968
Interoperability endpoints
- desni.dantone@hahc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-321 | AR | |
| Medical Physician Assistant | 363AM0700X | MA051755 | PA | Yes |
Addresses
Primary practice location
104 Railroad St
Bedford, PA 15522-1013
Mailing address
PO Box 706
Hyndman, PA 15545-0706
Phone (814) 842-3206
Other providers in Bedford, PA
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- Judy A Custer
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- Mackenzie Faith Dasher
- Amanda M. Decker
- Carey Deeters
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- Dental Professionals of Pennsylvania, P.C.
All providers in Bedford, 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 Mar 10, 2021. 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.