Individual provider Active NPI

Jessica M McGrath, P.A.-C

  • Medical Physician Assistant
  • Frackville, PA
National Provider Identifier
1336348028
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA000905 Issued in PA
Practice address
219 S Balliet St
Frackville, PA 17931-2105
Phone
(570) 874-1491
Fax
(570) 874-3404
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA000905 PA Primary

Addresses

Primary practice location

219 S Balliet St
Frackville, PA 17931-2105

Mailing address

48 Tunnel Road
Suite 203
Pottsville, PA 17901-3885
Phone (570) 622-5455

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
I20110602000209 PA Practitioner - Physician Assistant 3476730318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

219 S Balliet St
Frackville, PA 17931-2105
Phone (570) 874-3404

420 S Jackson St
Pottsville, PA 17901-3625
Phone (570) 621-5000

431 Dowdentown Rd
Pottsville, PA 17901-9111
Phone (570) 399-5235

48 Tunnel Rd
Pottsville, PA 17901-3875

Hospital & facility affiliations

  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA000905PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group, P.C. CurrentSince Feb 1, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients

Locations

219 S Balliet St
Frackville, PA 17931
Phone (570) 874-3404

431 Dowdentown Rd
Pottsville, PA 17901
Phone (570) 399-5235

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

48 Tunnel Rd
Ste 203
Pottsville, PA 17901
Phone (570) 622-5455

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

Interoperability endpoints

  • Direct secure messaging: jmcgrath@imgpc.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1336348028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 TUNNEL ROAD",
            "address_2": "SUITE 203",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013885",
            "telephone_number": "570-622-5455",
            "fax_number": "570-622-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S BALLIET ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312105",
            "telephone_number": "570-874-1491",
            "fax_number": "570-874-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frackville, PA

Sources for this page

Verify at the official NPI Registry.