EILIS WAGNER BYRNES (PA) – Physician Assistant, NPI 1043374739
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
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Provider Addresses for EILIS WAGNER BYRNES (PA)
221, Broad Street, City of Oneida, Madison County, New York, 13421, United States
SUITE #201
ONEIDA, NY 134212149
Phone: (315) 363-5421
Fax: (315) 363-5472
Type: Mailing
9501 S Western Ave
Chicago, IL 606431013
Phone: (833) 620-1234
Type: Location
7715 W Ridgewood Dr
Parma, OH 441295553
Phone: (833) 620-1234
Type: Location
1261 N Telegraph Rd
Monroe, MI 481623368
Phone: (833) 620-1234
Type: Location
4903 S Emerson Ave
Indianapolis, IN 462035938
Phone: (833) 620-1234
Type: Location
109 GENESEE ST
ONEIDA, NY 134212703
Phone: (315) 231-5530
Type: Location
115 BOYD AVE
CHITTENANGO, NY 130371244
Phone: (315) 560-1799
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040602001194 | I | Physician Assistant | NY | TBD |
| I20211013000294 | I | Physician Assistant | MI | TBD |
| I20211215000557 | I | Physician Assistant | IL | TBD |
| I20221206000144 | I | Physician Assistant | IN | TBD |
| I20231024000218 | I | Physician Assistant | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 13421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| - | NY | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | MI | |
| Physician Assistant | IL |
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