CHADLEY POTTER PA-C
NPI 1619332020
Physician Assistant - Surgical in Wynnewood, PA
About Chadley Potter Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHADLEY POTTER PA-C (NPI 1619332020) is an individual surgical provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MA059118) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Chadley Potter 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.
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 Chadley Potter's NPI number?
The NPI number for Chadley Potter is 1619332020. It was assigned to this individual provider in the NPPES registry on December 30, 2015.
Where is Chadley Potter located?
Chadley Potter practices at 100 E Lancaster Ave # Msb275, Wynnewood, PA 19096. The listed phone number is (484) 572-0171.
What is Chadley Potter's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Chadley Potter enrolled in Medicare?
Yes. Chadley Potter 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 Chadley Potter was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Chadley Potter, PA-C · NPI 1619332020
Surgical physician in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 30, 2015.
## Identity
- **NPI:** 1619332020 (Entity type: Individual)
- **Enumerated:** December 30, 2015
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** MA059118 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E LANCASTER AVE # MSB275, Wynnewood, PA 19096-3450
- **Phone:** (484) 572-0171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619332020) · Data from the CMS NPPES public registry.