Amanda O'Connell, PA-C
Amanda O'Connell, PA-C is a Physician Assistant in Lake Katrine, New York. Qualified in 2016, 10 years ago. Practices with Advanced Dermatology, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 10
- Licensed in
- NY
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
315 Grant AveLake Katrine, NY 12449-5342
Phone: (845) 339-2525
Fax: (845) 339-2626
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 019729 (NY) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 019729 (NY) |
Record details
| NPI number | 1386094829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 15, 2016 |
| Last updated in NPPES | June 21, 2022 |
| Certification date | June 21, 2022 |
| Mailing address | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Advanced Dermatology, Pllc — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |