Individual provider Active NPI

Julianne C Grega, PA-C

  • Physician Assistant
  • Pottsville, PA
National Provider Identifier
1609168038
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
700 E Norwegian St
Pottsville, PA 17901-2710
Phone
(570) 621-4000
NPI assigned
May 4, 2011
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

700 E Norwegian St
Pottsville, PA 17901-2710

Mailing address

2432 Wetzel Run Dr
Weatherly, PA 18255-2914
Phone (570) 582-6187

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
I20170418000457 PA Practitioner - Physician Assistant 6709162274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
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)

48 Tunnel Rd
Suite 203
Pottsville, PA 17901-3885
Phone (570) 624-4777

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4000

700 Schuylkill Manor Rd
Pottsville, PA 17901-3849

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Feb 20, 2017 Accepting new patients
Integrated Medical Group P C Physician Assistant CurrentSince Sep 5, 2020 Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 20, 2017 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Sep 5, 2020 Accepting new patients

Locations

3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615

325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

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

48 Tunnel Rd
Ste 205
Pottsville, PA 17901
Phone (570) 622-1400

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

700 Schuylkill Manor Rd
Ste 1
Pottsville, PA 17901
Phone (570) 622-5672

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

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1609168038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 WETZEL RUN DR",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182552914",
            "telephone_number": "570-582-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGA",
        "first_name": "JULIANNE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.