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

Individual provider Physician Assistant · NPI 1396006425

Rebecca Deitzer, RPA-C is a Physician Assistant in Buffalo, New York. Qualified in 2011, 15 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
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Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton Streets
Buffalo, NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-3423
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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 015593 (NY)

Record details

NPI number1396006425
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESJuly 9, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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