Provider Demographics
NPI:1376639872
Name:BETTCHER, PAMELA J (RPA-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:BETTCHER
Suffix:
Gender:F
Credentials:RPA-C
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 647
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-341-6750
Mailing Address - Fax:585-341-8469
Practice Address - Street 1:1000 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-341-6750
Practice Address - Fax:585-341-8469
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2023-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY6216363AM0700X
NY006216363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400038487Medicare PIN
NYJ400038486Medicare PIN