MR. BERNARD JOHN STUETZ P.A.-C
NPI 1093807562
Physician Assistant - Medical in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since September 29, 2006PECOS Enrolled

561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128(215) 487-4000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Bernard John Stuetz P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BERNARD JOHN STUETZ P.A.-C (NPI 1093807562) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA000812L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093807562

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. BERNARD JOHN STUETZCredential: P.A.-C

Location Address561 FAIRTHORNE AVEPhiladelphia, PA 19128-2412

Mailing Address162 Harrison AveGlenside, PA 19038-4009 · (215) 884-6220 · Fax (215) 884-1424

Phone(215) 487-4000

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1093807562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA000812L

561 FAIRTHORNE AVE, Philadelphia, PA 19128

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bernard John Stuetz P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.