MARY ANN BECK CORSELLO PA NPI 1023068962

NPI Information

NPI: 1023068962
Provider Name: MARY ANN BECK CORSELLO, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
525 OKEECHOBEE BLVD
CITY TOWER PLACE 14TH FLOOR
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 804-0200
Get Directions

Mary Ann Beck Corsello, PA is a medical physician assistant in West Palm Beach, FL. Mary Ann Beck Corsello, PA NPI is 1023068962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 OKEECHOBEE BLVD
CITY TOWER PLACE 14TH FLOOR
WEST PALM BEACH, FL
ZIP 33401-349
Phone: (561) 804-0200
Fax: (561) 804-0222

The NPI 1023068962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9106112	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HD431Z	MEDICARE PIN	FLORIDA
2	1023068962	OTHER	FLORIDA	TRICARE
3	000000502699	OTHER	OHIO	ANTHEM BC/BS
4	PA13353	MEDICARE PIN	OHIO
5	Y0F7C	OTHER	FLORIDA	BCBS
6	364100	OTHER	FLORIDA	AV MED
7	S79968	MEDICARE UPIN
8	PA80611	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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