Individual provider Active NPI

Erin O'Brien Bethon, PA

  • Medical Physician Assistant
  • Albany, NY
National Provider Identifier
1972853711
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
015702 Issued in NY
Practice address
123 Everett Rd
Albany, NY 12205-1407
Phone
(518) 701-2085
Fax
(518) 701-2020
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015702 NY Primary

Addresses

Primary practice location

123 Everett Rd
Albany, NY 12205-1407

Mailing address

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000770 NY Practitioner - Physician Assistant 0749430023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany ENT and Allergy Services PCGroup PAC ID 3678551736, 46 clinicians

Practice addresses (Care Compare)

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2000

1785 Route 9
Suite 201
Halfmoon, NY 12065-2449
Phone (518) 701-2075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015702NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Jan 1, 2020 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Jan 1, 2020 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Sep 17, 2012 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Sep 17, 2012 Accepting new patients
St. Peter'S Hospitalof the City of Albany Past Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

315 S Manning Blvd
#7
Albany, NY 12208
Phone (518) 525-5064

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

315 S Manning Blvd
Unit 3563C
Albany, NY 12208
Phone (518) 525-6560

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: erin.bethon.p1@direct.aent.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1972853711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHON",
        "first_name": "ERIN",
        "middle_name": "O'BRIEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.