Active NPI
Megan Jane Phillips, PA-C
- Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001845
- Practice address
- 80 Seymour Street
Hartford Hospital Surgery Dept
Hartford, CT 06102-5037 - Phone
- (860) 545-2840
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001845 | CT | Primary |
Addresses
Primary practice location
80 Seymour Street
Hartford Hospital Surgery Dept
Hartford, CT 06102-5037
Mailing address
P.O. Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003018454 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Davis Rd E
Old Lyme, CT 06371-1413
Phone (860) 390-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1845 | CT | MD | Marriage & Family Therapist |
| 001845 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Backus Hospital | Current | Accepting new patients | |
| Northeast Plastic Surgery Center LLC | Current | Accepting new patients | |
| New England PA LLC | Physician Assistant | Current | Accepting new patients |
| Sang and Sridhar Digestive Disease Consultants LLC | Past | Accepting new patients | |
| Litchfield County Gastroenterology Associates, LLC | Past | Accepting new patients | |
| Mercy Tyler Health Systems | Past | Accepting new patients | |
| Mercy Tyler Hospital | Past | Accepting new patients | |
| Summit Surgical, PC | Past | Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
5 Davis Rd E
Old Lyme, CT 06371
Phone (860) 390-6000
12 Halls Rd
Unit 878
Old Lyme, CT 06371
Organizations & group practices 9
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.
-
- Plastic and Reconstructive Surgery Physician
- Old Lyme, CT
- NPI 1932586682
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- Physician Assistant
- Old Lyme, CT
- NPI 1740653278
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
-
- Gastroenterology Physician
- Norwich, CT
- NPI 1316280803
-
- Surgery Physician
- Tunkhannock, PA
- NPI 1881616985
-
- General Acute Care Hospital
- Tunkhannock, PA
- NPI 1386667533
-
- Surgery Physician
- Tunkhannock, PA
- NPI 1538184726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1891789202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 415933",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415933",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL SURGERY DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061025037",
"telephone_number": "860-545-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MEGAN",
"middle_name": "JANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003018454",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.