Jami Alyssa Rubin Pavlak, NP in State College, PA

Jami Alyssa Rubin Pavlak, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in State College, Pennsylvania. Her current practice location is 320 Rolling Ridge Dr Ste 100, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 867-0670.

Jami Alyssa Rubin Pavlak is licensed to practice in Pennsylvania (license number SP025348) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265770010.

Contact Information

	Jami Alyssa Rubin Pavlak, NP
	320 Rolling Ridge Dr Ste 100, State College, PA 16801-7641
	(814) 867-0670
	(814) 867-7616

Map and Direction

Provider's Profile

Full Name	Jami Alyssa Rubin Pavlak
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	320 Rolling Ridge Dr Ste 100, State College, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265770010
Provider Enumeration Date: 01/29/2013
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9830334945
Enrollment ID: I20220720003972

Medical Identifiers

Medical identifiers for Jami Alyssa Rubin Pavlak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265770010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4704294965 (Michigan)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	SP018828 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP025348 (Pennsylvania)	Primary

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. Jami Alyssa Rubin Pavlak allows following entities to bill medicare on her behalf.

Entity Name	Susquehanna Valley Professional Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578543054 PECOS PAC ID: 5395648745 Enrollment ID: O20040202000020

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. Jami Alyssa Rubin Pavlak 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
Jami Alyssa Rubin Pavlak, NP 320 Rolling Ridge Dr Ste 100, State College, PA 16801-7641 Ph: (814) 867-0670	Jami Alyssa Rubin Pavlak, NP 320 Rolling Ridge Dr Ste 100, State College, PA 16801-7641 Ph: (814) 867-0670

Reviews and Comments

Nurse Practitioner Nurses in State College, PA

Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888
Katy Nelson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954
Jennifer Nicole Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Elmore Research Wing, University Park, State College, PA 16802 Phone: 814-865-4302 Fax: 814-865-0351

Jami Alyssa Rubin Pavlak, NP - Medicare Nurse Practitioner in State College, PA