Makayla Glover, PA-C
Individual provider Active NPI Physician Assistant · Corry, PA
NPI 1316712573 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1316712573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA065261 (PA)
- Practice address
- 315 York St
Corry, PA 16407-1412 - Phone
- (814) 664-8686
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Medical Education and Research Institute Inc
Practice addresses (Care Compare)
155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917
315 York St
Corry, PA 16407-1412
Phone (814) 726-1122
Hospital & facility affiliations
- Lecom Health Corry Memorial Hospital
- Saint Vincent Hospital
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 |
|---|---|---|---|---|
| I20240215002147 | PA | Practitioner - Physician Assistant | 3274977475 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065261 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Consultants in Cardiovascular Diseases | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA065261 | PA | Yes |
Addresses
Primary practice location
315 York St
Corry, PA 16407-1412
Mailing address
315 York St
Corry, PA 16407-1412
Other practice location 1
130 N Main St
Union City, PA 16438-1068
Phone (814) 438-7208
Other providers in Corry, PA
- Michael James Fedyshin
- Laura Elaine Gartley
- Brenda L Gastecki
- Douglas Edward Gerzina
- Gwen Margaret Gleason
- Marianne Gluvna
- Gonstead Family Chiropractic of Corry, Inc
- Greater Erie Community Action Committee
- Edward E Griffin Jr.
- Lisa E. Gross
All providers in Corry, 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 Nov 26, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.