MEDICARE: DANIEL PATRICK SCOTT SR. 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	363AM0700X	Medical Physician Assistant	MA002548-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1497899785	OTHER	PA	NPI
2	1326269945	OTHER	PA	NPI
3	1265517940	OTHER	PA	NPI

General Provider Information

NPI Number	:	1770715039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL PATRICK SCOTT SR. PA-C

Provider Business Mailing Address
First Line	:	1055 ANDREW DR
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-3446
Country	:	US
Telephone Number	:	610-436-4448
Fax Number	:	610-431-3707

Provider Business Practice Location Address
First Line	:	1055 ANDREW DR
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-3446
Country	:	US
Telephone Number	:	610-436-4448
Fax Number	:	610-431-3707

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

Provider Enumeration Date	:	08/19/2009
Last Update Date	:	08/03/2022

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