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

Individual provider Physician Assistant · NPI 1083155063

Mark Byaliy, PA-C is a Physician Assistant in Mount Pleasant, Wisconsin. Qualified in 2025, 1 year ago. Practices with Bsh, SC, an 11-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2017
Specialties on file
2
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

5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058
Phone: (262) 898-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1083155063
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 10, 2017
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address5439 Durand Ave Ste 100, Mount Pleasant, WI 53406-5058

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bsh, Sc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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