MRS. RENEE HAMMOUD PA-C
NPI 1790264711
Physician Assistant in Bryn Mawr, PA

Q: What is Renee Hammoud's NPI number?

The NPI number for Renee Hammoud is 1790264711. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Q: What is Renee Hammoud'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 Renee Hammoud was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 09, 2018PECOS EnrolledAccepts Medicare Assignment

825 OLD LANCASTER RD STE 400, BRYN MAWR, PA 19010(610) 525-1202(610) 527-0643 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Aug 9, 2018 (2 updates tracked since 2018).

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About Mrs. Renee Hammoud Pa-c NPPES

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

MRS. RENEE HAMMOUD PA-C (NPI 1790264711) is an individual physician assistant in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MA059980) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paoli, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790264711

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. RENEE HAMMOUDCredential: PA-C

Location Address825 OLD LANCASTER RD STE 400Bryn Mawr, PA 19010-3236

Mailing Address825 Old Lancaster Rd Ste 320Bryn Mawr, PA 19010-3235 · (610) 527-3800

Phone(610) 525-1202

Fax(610) 527-0643

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 9, 2018

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1790264711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA059980

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.

825 OLD LANCASTER RD STE 400, Bryn Mawr, PA 19010

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Secondary Practice Location 1

Location 1255 W Lancaster AvePaoli, PA 19301-1763 · Phone (484) 565-1048

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

Mrs. Renee Hammoud 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 ID9032453956

PECOS Enrollment IDI20181204002303

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 19010 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 11

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

REBECCA LYNN MCKENNA AGACNP-BC

Nurse Practitioner