MEDICARE: MEREDITH LYNN EASTERLING PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	OA005915	PA
2	363AM0700X	Medical Physician Assistant	MA063144	PA

General Provider Information

NPI Number	:	1528721107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH LYNN EASTERLING PA-C

Provider Business Mailing Address
First Line	:	5025 PRIDES CT
Second Line	:
City	:	MURRYSVILLE
State	:	PA
Zip	:	15668-2629
Country	:	US
Telephone Number	:	724-681-5216
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 BAUM BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-2303
Country	:	US
Telephone Number	:	412-687-3627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	02/05/2025

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