Individual provider Active NPI

Megan Marie Pavlovic, PA-C

  • Medical Physician Assistant
  • Palmerton, PA
National Provider Identifier
1720414220
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060892 Issued in PA
Practice address
528 Delaware Ave
Palmerton, PA 18071-1911
Phone
(610) 900-4950
NPI assigned
Sep 17, 2013
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04501 NC
Medical Physician Assistant 363AM0700X MA060892 PA Primary

Addresses

Primary practice location

528 Delaware Ave
Palmerton, PA 18071-1911

Mailing address

1422 Parkview Cir
Apt# 301
Wilmington, NC 28405-4316
Phone (610) 360-5686

Other practice location 1

1000 Brabham Ave
Jacksonville, NC 28546-5003
Phone (910) 341-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131122001227 NC Practitioner - Physician Assistant 6709012644 Reassigns benefits to 1 organization
I20190911002397 PA Practitioner - Physician Assistant 6709012644 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1431 Nursery St
Fogelsville, PA 18051-1612

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

2741 Macarthur Rd
Whitehall, PA 18052-3632
Phone (610) 434-9561

3701 Corriere Rd
Easton, PA 18045-7991

384 Airport Rd
Hazle Township, PA 18202-3325
Phone (570) 861-8717

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 900-4950

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

6451 Village LN
Macungie, PA 18062-8484
Phone (610) 967-2772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-04501NCMDPhysician Assistant
MA060892PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Dec 21, 2020 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Dec 21, 2020 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Dec 23, 2024 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Dec 21, 2020 Accepting new patients
GSL Hospital CurrentSince Jul 15, 2023 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Dec 21, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 23, 2024 Accepting new patients
Family Care Centers Inc CurrentSince Dec 23, 2024 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Dec 21, 2020 Accepting new patients
St Luke's Hospital CurrentSince Dec 21, 2020 Accepting new patients
St. Luke's Hosptial CurrentSince Dec 21, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 23, 2024 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Dec 21, 2020 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Dec 21, 2020 Accepting new patients
St Luke's Hospital CurrentSince Dec 21, 2020 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Wilmington Health PLLC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1720414220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 PARKVIEW CIR",
            "address_2": "APT# 301",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054316",
            "telephone_number": "610-360-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711911",
            "telephone_number": "610-900-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Brabham Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465003",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04501",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.