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

Individual provider Physician Assistant · NPI 1205386430

Mr. Anthony Raymond Raineri, PA-C is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Dermdox Wb PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
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

150 Mundy St
Wilkes Barre, PA 18702-6830
Phone: (570) 829-0031
Fax: (570) 802-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8 Brookhill Sq S, Sugarloaf, PA 18249-1010 — (570) 459-0029

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA058585 (PA)

Record details

NPI number1205386430
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dermdox Wb Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilkes Barre