William Pamicio Aleman, PA-C

Individual provider Active NPI Physician Assistant · Rochester, MN

NPI 1881679561 · NPPES record last updated May 1, 2019

Key facts

NPI
1881679561
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
9108 (MN)
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Service Inc (7 clinicians)

Practice addresses (Care Compare)

2310 4TH Ave N
Moorhead, MN 56560-2473

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031203000259 MN Practitioner - Physician Assistant 1557266608

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: waleman817322@direct.ochin.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9108 MN Yes

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other providers in Rochester, MN

All providers in Rochester, MN · Physician Assistant in Minnesota

Sources for this page

Verify at the official NPI Registry.