TANNER RAE MAZUR PA-C
NPI 1124674270
Physician Assistant in Wilkes Barre, PA

Q: What is Tanner Mazur's NPI number?

The NPI number for Tanner Mazur is 1124674270. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Q: What is Tanner Mazur's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Mazur was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment

1175 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-1095(570) 808-7878 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, Aug 31, 2020, Aug 27, 2020 and 2 more (5 updates tracked since 2019).

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About Tanner Rae Mazur Pa-c NPPES

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

TANNER RAE MAZUR PA-C (NPI 1124674270) is an individual physician assistant in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA060718) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124674270

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTANNER RAE MAZURCredential: PA-C

Location Address1175 E MOUNTAIN BLVDWilkes Barre, PA 18702-7906

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 808-1095

Fax(570) 808-7878

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 14, 2019

Last NPPES UpdateSeptember 27, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1124674270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA060718

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA060718 (PA)

1175 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

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Secondary Practice Locations 3

Location 1648 N Main StTaylor, PA 18517-1112 · Phone (570) 348-1101

Location 23 W Olive St Ste 118Scranton, PA 18508 · Phone (570) 961-3823 · Fax (570) 207-5988

Location 33 W Olive StScranton, PA 18508-2572 · Phone (570) 961-3822

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanner Rae Mazur Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991034381

PECOS Enrollment IDI20190910003283

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services51 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MICHELE MALINOWSKI PA-C

Physician Assistant