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

Individual provider Physician Assistant · NPI 1558190991

Mr. Matthew Tyler Bulkley, PA-C is a Physician Assistant in Lewisburg, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
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

250 Reitz Blvd
Lewisburg, PA 17837-9208
Phone: (570) 523-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558190991
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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 Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lewisburg