Elizabeth A Beadles, PA-C
Individual provider Active NPI Physician Assistant · University Park, PA
NPI 1962851881 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1962851881
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- OA004131 (PA)
- Practice address
- 308 Student Health Center
University Park, PA 16802 - Phone
- (814) 863-6747
- Fax
- (814) 863-8464
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058374 | PA | MD | Physician Assistant |
| OA004131 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Nittany Medical Center Health Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA058374 | PA | |
| Physician Assistant | 363A00000X | OA004131 | PA | Yes |
Addresses
Primary practice location
308 Student Health Center
University Park, PA 16802
Mailing address
308 Student Health Center
University Park, PA 16802
Phone (814) 863-6747
Other names
- Elizabeth Ann Young
Other providers in University Park, PA
- Taylor Bartholomew
- Ashley Bartley
- Allison R Barwise
- Karen Bascom
- Harold Bassett
- Patty Beckenbaugh
- Bethany N Beissel
- Sara Bell
- Jessica Birbeck
- Julia Louise Birmingham
All providers in University Park, 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 Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.