Individual provider Active NPI

Heather D Letcavage, PA-C

  • Surgical Physician Assistant
  • Tamaqua, PA
National Provider Identifier
1295921732
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA051716 Issued in PA
Practice address
149 Lafayette Ave
Tamaqua, PA 18252-4619
Phone
(702) 899-0595
Fax
(702) 977-1496
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA051716 PA Primary

Addresses

Primary practice location

149 Lafayette Ave
Tamaqua, PA 18252-4619

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other identifiers 1

IdentifierTypeStateIssuer
1077031OtherPACERTIFICATION NUMBER

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
I20071023000476 PA Practitioner - Physician Assistant 6901992833 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA051716PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Oct 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2008 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2008 Accepting new patients

Locations

1265 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 776-7522

100 N Academy Ave
Danville, PA 17822

1000 Seton Dr
Orwigsburg, PA 17961
Phone (570) 366-0400

1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961
Phone (570) 366-2999

149 Lafayette Ave
Tamaqua, PA 18252
Phone (570) 668-1775

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

600 S Wycombe Ave
Yeadon, PA 19050
Phone (610) 626-8065

300 E Baker St
Clarksville, TX 75426
Phone (903) 427-2236

150 47th St SE
Paris, TX 75462
Phone (903) 784-3100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1295921732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 LAFAYETTE AVE",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524619",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETCAVAGE",
        "first_name": "HEATHER",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "1077031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

Verify at the official NPI Registry.