BRYCE VANDEUTSCH PA-C
NPI 1417775800
Physician Assistant - Medical in Dallas, PA

Active since October 02, 2024PECOS EnrolledAccepts Medicare Assignment
114 LT MICHAEL CLEARY DR, DALLAS, PA 18612(570) 675-2000 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bryce Vandeutsch Pa-c NPPES

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

BRYCE VANDEUTSCH PA-C (NPI 1417775800) is an individual medical provider in Dallas, Pennsylvania and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417775800
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBRYCE VANDEUTSCHCredential: PA-C
Location Address114 LT MICHAEL CLEARY DRDallas, PA 18612-1649
Mailing Address114 Lt Michael Cleary DrDallas, PA 18612-1649 · (570) 675-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
NPI 1417775800 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
114 LT MICHAEL CLEARY DR, Dallas, PA 18612

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

Bryce Vandeutsch 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 ID9133659170
PECOS Enrollment IDI20250206001172
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 20

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

Pharmacy (Community/Retail Pharmacy)
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Nurse Practitioner
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Physician Assistant
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Family Medicine
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Pharmacist (Pharmacotherapy)
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Physician Assistant
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Pediatrics
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612
Family Medicine
114 LT MICHAEL CLEARY DR
DALLAS, PA 18612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryce Vandeutsch's NPI number?

The NPI number for Bryce Vandeutsch is 1417775800. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Bryce Vandeutsch located?

Bryce Vandeutsch practices at 114 Lt Michael Cleary Dr, Dallas, PA 18612. The listed phone number is (570) 675-2000.

What is Bryce Vandeutsch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bryce Vandeutsch enrolled in Medicare?

Yes. Bryce Vandeutsch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bryce Vandeutsch was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.