MEDICARE: MADELINE SIEGLINGER PA

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	0110011420	VA
2	208200000X	Plastic Surgery Physician	0110011420	VA

General Provider Information

NPI Number	:	1871478800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE SIEGLINGER PA

Provider Business Mailing Address
First Line	:	PO BOX 749112
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 LEE ST
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0816
Country	:	US
Telephone Number	:	434-924-3627
Fax Number	:	434-982-3433

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

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	01/28/2026

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Directions to “ MADELINE SIEGLINGER PA” Practice Location

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