Meagan Kathryn Alan, PA-C

Individual provider Active NPI Physician Assistant · York, PA

NPI 1033149489 · NPPES record last updated Jun 9, 2016

Key facts

NPI
1033149489
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
OA000481L (PA)
Practice address
1001 S George St
3Rd Floor
York, PA 17403-3676
Phone
(717) 851-4005
Fax
(717) 812-2495
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA000481LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA000481L PA Yes

Addresses

Primary practice location

1001 S George St
3Rd Floor
York, PA 17403-3676

Mailing address

1803 Mount Rose Ave
Suite B3
York, PA 17403-3026
Phone (717) 851-1405

Other identifiers

IdentifierTypeStateIssuer
1551066OtherPAGATEWAY MEDICARE ASSURED
1983371OtherPAHIGHMARK BLUE SHIELD
1551066OtherPAGATEWAY-WMG

Other names

  • Ms. Meagan Kathryn Renninger Former name

Other providers in York, PA

All providers in York, PA · Physician Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.