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Tracy Lynn Andrus, PA-C

NPI 1245781426ActiveIndividual· Physician Assistant· Bradford, PA

Physician Assistant (PA-C) with Phoenix Rehabilitation and Health Services Inc and 1 other group, practicing in Bradford, Pennsylvania. 27 Medicare patients in 2024, $3,025 paid; all of their 219 Part D prescriptions were generic. Lists Olean General Hospital as a hospital affiliation.

Overview

NPI1245781426
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 22, 2016
Last updated in NPPESOct 22, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XMA058691PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients27
Services billed35 across 12 procedure codes
Paid by Medicare$3,025

Part D prescriptions in 2024

Prescriptions (claims)219 · 241 30-day fills
Patients120
Total drug cost$983.13
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Bradford

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