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Randy L. Panke, NCCPA

NPI 1285699488ActiveIndividual· Physician Assistant· Groton, CT

Physician Assistant (NCCPA) in Groton, Connecticut, with an NPI issued in April 2006.

Overview

NPI1285699488
StatusActive
Entity typeIndividual
CredentialNCCPA
Sole proprietorNo
NPI issuedApr 19, 2006
Last updated in NPPESJul 24, 2024
Certified by providerJul 24, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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 Groton

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