Rafael G Cohen, PA-C
Individual provider Active NPI Physician Assistant · Quantico, VA
NPI 1922023928 · NPPES record last updated Feb 11, 2011
Key facts
- NPI
- 1922023928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110003525 (VA)
- Practice address
- Fbi Academy
HRT Building
Quantico, VA 22135-0001 - Phone
- (703) 632-1632
- Fax
- (703) 632-1592
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
436 5TH St
Kotzebue, AZ 99752-0043
PO Box
Suite 43
Kotzebue, AK 99752-0043
Hospital & facility affiliations
- Maniilaq Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AK
- 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 |
|---|---|---|---|---|
| I20260123001607 | TX | Practitioner - Physician Assistant | 1759868425 | Reassigns benefits to 1 organization |
| I20260316001095 | AK | Practitioner - Physician Assistant | 1759868425 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003525 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current |
Accepting new patients | |
| Maniilaq Association | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003525 | VA | Yes |
Addresses
Primary practice location
Fbi Academy
HRT Building
Quantico, VA 22135-0001
Mailing address
Fbi Academy
HRT Building
Quantico, VA 22135-0001
Phone (703) 632-1632
Other providers in Quantico, VA
- Cara Counseling Services, PLLC
- Deanna L Cardoso
- Eric Carroll
- Megan Challacombe
- In Hyok Choi
- Vicki Jo Colapietro
- Ashton Colbert
- Jennifer Coleman
- Elizabeth Coenen Cooper
- Alyssa Cox
All providers in Quantico, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2011. 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.