MEDICARE: MEGAN GRADY 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	OA005496	PA

General Provider Information

NPI Number	:	1548854375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN GRADY PA-C

Provider Business Mailing Address
First Line	:	826 MAIN ST STE 201
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-4459
Country	:	US
Telephone Number	:	610-415-1100
Fax Number	:	610-415-1101

Provider Business Practice Location Address
First Line	:	826 MAIN ST STE 201
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-4459
Country	:	US
Telephone Number	:	610-415-1100
Fax Number	:	610-415-1100

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

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	04/07/2026

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Directions to “ MEGAN GRADY PA-C” Practice Location

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