Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Marisa Kae Hanlon, PA

Individual provider Surgical Physician Assistant · NPI 1336616648

Miss. Marisa Kae Hanlon, PA is a Physician Assistant in Rochester, New York. Qualified in 2020, 6 years ago. Practices with The Unity Hospital of Rochester, a 732-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone: (585) 723-7000
Fax: (585) 723-7280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 025677 (NY)

Record details

NPI number1336616648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2018
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Unity Hospital Of Rochester — 732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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