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

Individual provider Physician Assistant · NPI 1700288255

Dessiree Berback, PA-C is a Physician Assistant in Fountain Hill, Pennsylvania. Qualified in 2014, 12 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
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

701 Ostrum St
Fountain Hill, PA 18015-1155
Phone: (484) 526-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057131 (PA)

Record details

NPI number1700288255
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address701 Ostrum St, Fountain Hill, PA 18015-1155

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations20 on file with Medicare

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