JESSICA MANZOLILLO PAC
NPI 1174504468
Physician Assistant in Wilkes Barre, PA

Q: What is Jessica Manzolillo's NPI number?

The NPI number for Jessica Manzolillo is 1174504468. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Q: What is Jessica Manzolillo's specialty?

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

Active since November 14, 2005PECOS Enrolled

175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702(570) 208-6281(570) 208-6282 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2020, Dec 14, 2017 (2 updates tracked since 2017).

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About Jessica Manzolillo Pac NPPES

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

JESSICA MANZOLILLO PAC (NPI 1174504468) is an individual physician assistant in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA051051) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174504468

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSICA MANZOLILLOCredential: PAC

Location Address175 S WILKES BARRE BLVDWilkes Barre, PA 18702-5040

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

Phone(570) 208-6281

Fax(570) 208-6282

Sole ProprietorNo

Enumeration DateNovember 14, 2005

Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration

NPPES CertifiedJuly 31, 2020

✔ NPI 1174504468 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 · MA051051

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 MA051051 (PA)

175 S WILKES BARRE BLVD, Wilkes Barre, PA 18702

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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)

Jessica Manzolillo Pac 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.

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$2.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. PATRICIA ANN WASCAVAGE RPH, MBA

Pharmacist (Pharmacotherapy)