Rebecca Butler, PA-C
Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1063129641
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1063129641
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Butler
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2 Penn Blvd Ste 108Philadelphia, PA 19144-1402
Phone 215-842-0406
Mailing address
2008 Jason Dr Apt BHuntingdon Valley, PA 19006-1737
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