Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alessandra Marie Bahneman, PA-C

Individual provider Physician Assistant · NPI 1891364162

Alessandra Marie Bahneman, PA-C is a Physician Assistant in New York, New York. Qualified in 2021, 5 years ago. Practices with Barnett Dermatology PA, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Central Park S Ste 107
New York, NY 10019
Phone: (800) 545-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1891364162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Barnett Dermatology Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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