LINDSAY MARIE BRAHOSKY PA-C - NPI 1154787893 - Physician Assistant in State College, PA

Q: What is the provider's specialty?

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

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About Lindsay Marie Brahosky Pa-c NPPES

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

LINDSAY MARIE BRAHOSKY PA-C (NPI 1154787893) is an individual medical provider in State College, Pennsylvania, licensed in Pennsylvania (MA058070) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154787893

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLINDSAY MARIE BRAHOSKYCredential: PA-C

Location Address2581 CLYDE AVEState College, PA 16801-7508

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

Phone(814) 626-2500

Fax(814) 940-6517

Sole ProprietorNo

Enumeration DateJanuary 11, 2016

Last NPPES UpdateOctober 23, 20234 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1154787893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA058070

Also ListedGeneral PracticeTaxonomy 208D00000X · License OA003888 (PA)

2581 CLYDE AVE, State College, PA 16801

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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)

Lindsay Marie Brahosky Pa-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.

Other Providers at the Same Location NPPES 6

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

MRS. BRIANNE BETH MEEK RD

Dietitian, Registered