ALAYNA D'ENTREMONT MMS, PA-C
NPI 1790412088
Physician Assistant in Philadelphia, PA

Q: What is Alayna D'entremont's NPI number?

The NPI number for Alayna D'entremont is 1790412088. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Q: What is Alayna D'entremont's specialty?

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

Active since August 05, 2022PECOS Enrolled

3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104(215) 615-5858 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Nov 6, 2025, Aug 8, 2022 and 1 more (4 updates tracked since 2022).

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About Alayna D'entremont Mms, Pa-c NPPES

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

ALAYNA D'ENTREMONT MMS, PA-C (NPI 1790412088) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA067493) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790412088

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALAYNA D'ENTREMONTCredential: MMS, PA-C

Location Address3400 CIVIC CENTER BLVD FL 3Philadelphia, PA 19104-5127

Mailing Address3400 Civic Center Blvd Fl 3Philadelphia, PA 19104-5127 · (215) 615-5858

Phone(215) 615-5858

Sole ProprietorNo

Enumeration DateAugust 5, 2022

Last NPPES UpdateApril 30, 20264 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1790412088 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 · MA067493

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.

3400 CIVIC CENTER BLVD FL 3, Philadelphia, PA 19104

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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)

Alayna D'entremont Mms, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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 20

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

ANDREA CAROLINA YEGUEZ

Student in an Organized Health Care Education/Training Program