Abraham S Kibbey, PA-C
Individual provider Active NPI Physician Assistant · Warren, PA
NPI 1972045912 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1972045912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA058748 (PA)
- Practice address
- 2 W Crescent Park FL 2
Warren, PA 16365-2111 - Phone
- (814) 723-4040
- Fax
- (814) 723-9412
- NPI assigned
- Nov 8, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Warren General Hospital
Practice addresses (Care Compare)
2 W Crescent Park
Warren, PA 16365-2111
Hospital & facility affiliations
- Warren General Hospital
- Warren General Hospital
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 |
|---|---|---|---|---|
| I20170225000169 | PA | Practitioner - Physician Assistant | 9335423094 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058748 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren General Hospital | Current |
Accepting new patients | |
| Warren General Hospital | Current |
Accepting new patients | |
| Warren Medical Group Inc | Past | Accepting new patients |
Locations
2 W Crescent Park
Fl 2
Warren, PA 16365
Phone (814) 723-0407
2817 Market St
Warren, PA 16365
Phone (814) 723-3794
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212
2 W Crescent Park
#2
Warren, PA 16365
Interoperability endpoints
- abrahamkibbey@directaddress.net
- abrahamkibbey@wagho.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA058748 | PA | Yes |
Addresses
Primary practice location
2 W Crescent Park FL 2
Warren, PA 16365-2111
Mailing address
2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-0407
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abrahamkibbey@wagho.allscriptsdirect.net |
Other providers in Warren, PA
- Karen Ashbaugh LCSW LLC
- Manu Kaushik
- Lauren Wood Keddie
- Charles E Keller
- Keystone Rehabilitation Systems, Inc.
- Kim Kibbey
- Andrew Kingan
- Hayley Kingen
- Kinzua PA Opco LLC
- Verlynn A Kleppe
All providers in Warren, 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 Aug 12, 2020. 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.