Individual provider · Type 1 NPI

Mary Grace Bookmyer, PA-C

Physician Assistant · Fort Wayne, IN

NPI number 1679386023 Active

Practice location

1721 Magnavox Way
Fort Wayne, IN 46804-1537

Mailing address

11512 Tall Oak Run
Fort Wayne, IN 46845-8604

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10004720A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679386023

Mary Grace Bookmyer, PA-C's National Provider Identifier is 1679386023, issued on Jan 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 29, 2025.