Courtney L Fedorek, PA-C is a medicare enrolled "Physician Assistant - Medical" in Hickory, Pennsylvania. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Preferred Primary Care Physicians, Inc. and her current practice location is
4151 Henderson Rd, Hickory, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 356-2273.
Courtney L Fedorek is licensed to practice in Pennsylvania (license number MA055594) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063769008.
Provider's Profile
| Full Name | Courtney L Fedorek |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 4151 Henderson Rd, Hickory, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney L Fedorek graduated from nursing school in 2012
NPI Data:
- NPI Number: 1063769008
- Provider Enumeration Date: 08/09/2012
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921248410
- Enrollment ID: I20130703000637
Medical Identifiers
Medical identifiers for Courtney L Fedorek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063769008 | NPI | - | NPPES |
| 0195236 | Medicaid | OH | |
| 1031109670001 | Medicaid | PA | |
| 288685RN0 | Other | PA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | MA055594 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Preferred Primary Care Physicians, Inc. | 8527967256 | 96 |
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. Courtney L Fedorek 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 Address | Practice Location Address |
|---|
Courtney L Fedorek, PA-C
701 Technology Dr Ste 150,
Canonsburg, PA 15317-9531
Ph: (412) 531-2902 | Courtney L Fedorek, PA-C
4151 Henderson Rd,
Hickory, PA 15340-1439
Ph: (724) 356-2273 |
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