| Mohammad Sohaib Qayyum, PA-C | |
|
400 Highland Ave, Lewistown, PA 17044-1167 | |
| (717) 242-7180 | |
| (717) 242-7299 |
| Full Name | Mohammad Sohaib Qayyum |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 400 Highland Ave, Lewistown, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477005239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA061733 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | PA9109803 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Contracting Services Llc | 3971417825 | 404 |
| Entity Name | Paragon Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | W4p LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Entity Name | Shi Keys LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952903536 PECOS PAC ID: 2163835513 Enrollment ID: O20210105000345 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Sohaib Qayyum, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Mohammad Sohaib Qayyum, PA-C 400 Highland Ave, Lewistown, PA 17044-1167 Ph: (717) 242-7180 |
Sara Perrin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7121 |
Shelley Machado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 N Dorcas St, Lewistown, PA 17044 Phone: 717-953-9571 |
Emilee Runk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Geisinger Ln, Lewistown, PA 17044 Phone: 717-242-7340 Fax: 717-242-7766 |
Rachel Lyden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Geisinger Ln, Lewistown, PA 17044 Phone: 717-242-4200 |
Colt Brackbill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Geisinger Ln, Lewistown, PA 17044 Phone: 717-242-4200 Fax: 717-242-4212 |
Miss Caitlin Marie Mccarthy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7480 Fax: 717-242-7479 |
Rachel Heisler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 W Market St, Lewistown, PA 17044 Phone: 717-437-9000 |