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NPI · 1104906726 · NPPES-sourced

Mary Bucknam P.A.

ActiveMedical Physician Assistant
NPI Number
1104906726
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(607) 272-6880
License NY · 0032601
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-10-17
Primary practice addressNY · 14850-1397
1301 Trumansburg Rd, Suite HIthaca, NY 14850-1397
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About this NPIWhat this record shows.

NPI 1104906726 is registered to Mary Bucknam P.A., a Medical Physician Assistant practising at 1301 Trumansburg Rd, Suite H in Ithaca, New York. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mary Bucknam P.A. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-10-17
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mary Bucknam P.A. accepts. To confirm in-network status with your specific health plan, contact Mary Bucknam P.A. directly at (607) 272-6880.

Frequently asked

Yes. NPI 1104906726 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (607) 272-6880.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mary Bucknam P.A. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated2007-07
Enumerated2006-10-17
StatusActive
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4 records · same addressOther providers at this location.

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Same specialtyOther Medical Physician Assistant providers in New York.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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