Jake Andrew Coffman, PA-C - Medicare Physician Assistant in Williamsport, PA

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Jake Andrew Coffman, PA-C is a medicare enrolled "Physician Assistant" in Williamsport, Pennsylvania. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Susquehanna Physician Services, Wake Forest University Health Sciences, Phoenix Rehabilitation And Health Services Inc and his current practice location is 1705 Warren Ave Ste 101-103, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-2020.

Jake Andrew Coffman is licensed to practice in Pennsylvania (license number MA066501) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194199349.

Contact Information

Jake Andrew Coffman, PA-C
1705 Warren Ave Ste 101-103,
Williamsport, PA 17701-2647
(570) 321-2020
Not Available

Map and Direction




Provider's Profile

Full NameJake Andrew Coffman
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location1705 Warren Ave Ste 101-103, Williamsport, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jake Andrew Coffman graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1194199349
  • Provider Enumeration Date: 11/25/2015
  • Last Update Date: 02/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436454857
  • Enrollment ID: I20250908002256

Medical Identifiers

Medical identifiers for Jake Andrew Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194199349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-06081 (North Carolina)Secondary
363A00000XPhysician Assistant MA066501 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital
Upmc WilliamsportWilliamsport, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Susquehanna Physician Services2264336460611
Wake Forest University Health Sciences44865649522633
Phoenix Rehabilitation And Health Services Inc34764642982775

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jake Andrew Coffman allows following entities to bill medicare on his behalf.
Entity NameSusquehanna Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639114689
PECOS PAC ID: 2264336460
Enrollment ID: O20040615001450
Entity NameSusquehanna Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861431116
PECOS PAC ID: 2264336460
Enrollment ID: O20060503000814

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jake Andrew Coffman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jake Andrew Coffman, PA-C
1201 Grampian Blvd,
Williamsport, PA 17701-1900

Ph: (570) 326-8723		Jake Andrew Coffman, PA-C
1705 Warren Ave Ste 101-103,
Williamsport, PA 17701-2647

Ph: (570) 321-2020

Reviews and Comments


Physician Assistant Nurses in Williamsport, PA

Wayne R Jacobs Jr.,
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Haley Ann Donahoe, PA-C
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Faith M Reid, PA-C
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Ms. Sara Jo Ritchey, PA-C
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Austin Strosser,
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Cassandra Heiney, PAC
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Practice Location: 1705 Warren Ave Ste 204-205, Williamsport, PA 17701
Phone: 570-320-7474    
Patrick Ward, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 700 High St, Williamsport, PA 17701
Phone: 570-321-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.