MEDICARE: HANNAH L SAILE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	26757	NY
2	363A00000X	Physician Assistant	026757	NY
3	363AS0400X	Surgical Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144898438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH L SAILE PA-C

Provider Business Mailing Address
First Line	:	10869 STATE ROUTE 36
Second Line	:
City	:	DANSVILLE
State	:	NY
Zip	:	14437-9444
Country	:	US
Telephone Number	:	585-335-3100
Fax Number	:	585-335-8695

Provider Business Practice Location Address
First Line	:	61 N STATE ST
Second Line	:
City	:	NUNDA
State	:	NY
Zip	:	14517-9785
Country	:	US
Telephone Number	:	585-468-2528
Fax Number	:	585-468-5424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	12/30/2025

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Directions to “ HANNAH L SAILE PA-C” Practice Location

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