Sarah Rebecca McKeown, PA-C
Individual provider Active NPI Physician Assistant · Olyphant, PA
NPI 1023485372 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1023485372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- OA003630 (PA)
- Practice address
- 221 River St
Olyphant, PA 18447-1475 - Phone
- (570) 383-3636
- NPI assigned
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125000716 | PA | Practitioner - Physician Assistant | 3971806084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207Q00000X | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current |
Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
221 River St
Olyphant, PA 18447
Phone (570) 383-3636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207Q00000X | PA | |
| Physician Assistant | 363A00000X | OA003630 | PA | Yes |
Addresses
Primary practice location
221 River St
Olyphant, PA 18447-1475
Mailing address
537 Madison Ave
Scranton, PA 18510-2422
Phone (607) 651-6554
Other providers in Olyphant, PA
- Lackawanna County Health Care Center
- Lackawanna Health Care Center LLC
- Thomas G Majernick
- Michael Allan Maritato
- Alphonse Matrone Jr.
- Midvalley Chiropractic Clinic, P.C.
- Martin C. Misiura
- Paul R Misiura
- Liam Mooney
- William John Morris
All providers in Olyphant, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.