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

Individual provider Physician Assistant · NPI 1679386023

Mary Grace Bookmyer, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2024, 2 years ago. Practices with Racc Medical Associates LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2025
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

1721 Magnavox Way
Fort Wayne, IN 46804-1537
Phone: (260) 748-3650
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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 10004720A (IN)

Record details

NPI number1679386023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Racc Medical Associates Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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