1051 CRAFT RD
ITHACA, NY 14850-1016 US PECOS Enrolled
Overview
Mark A Wernham is a Physician Assistant (Medical) in the ITHACA area and has over 18 years of experience. Mark A Wernham primary office location is at 1051 CRAFT RD and new patients are welcome to contact this healthcare provider for an appointment. He attended Rutgers New Jersey Medical School and graduated 2006
Mark A Wernham is affiliated with one hospital in the ITHACA area, CAYUGA MEDICAL CENTER AT ITHACA. The NPI number is 1205849981 and the information was updated approximately 1 year ago.
Mark A Wernham is affiliated with one medical group in the ITHACA area, JOSEPHINE C. MCALLISTER, M.D., LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 019675-1 | NY |
| 25MP00163400 | NJ |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Physician Assistant (Medical) - Taxonomy Code 363AM0700X | NY | Y |
| Physician Assistant (Medical) - Taxonomy Code 363AM0700X | NJ | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20160825001372 |
| PECOS Individual PAC ID: | 1951404722 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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