Individual provider Active NPI

Megan W Harris, PA-C

  • Physician Assistant
  • Sugarloaf, PA
National Provider Identifier
1013260793
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055833 Issued in PA
Practice address
8 Brookhill Square South
Sugarloaf, PA 18249-7900
Phone
(570) 459-0029
Fax
(570) 454-5757
NPI assigned
Oct 18, 2012
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055833 PA Primary

Addresses

Primary practice location

8 Brookhill Square South
Sugarloaf, PA 18249-7900

Mailing address

8 Brookhill Square South
Sugarloaf, PA 18249-7900
Phone (570) 459-0029

Other practice location 1

675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone (570) 808-6113

Other names 1

  • Megan Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000349 PA Practitioner - Physician Assistant 0446404438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermdox WB PCGroup PAC ID 6002339025, 5 clinicians
Dermdox Dermatology Centers PCGroup PAC ID 6406154756, 14 clinicians

Practice addresses (Care Compare)

150 Mundy St
Wilkes Barre, PA 18702-6830
Phone (570) 829-0031

8 Brookhill SQ S
Sugarloaf, PA 18249-1010
Phone (570) 459-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Feb 1, 2013 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Feb 1, 2013 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

675 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-5757

Interoperability endpoints

  • Direct secure messaging: mharris@dermdox.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1013260793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182497900",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182497900",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Baltimore Dr",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187027900",
            "country_code": "US",
            "telephone_number": "570-808-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MEGAN",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugarloaf, PA

Sources for this page

Verify at the official NPI Registry.