MEDICARE: JANA MARIE MAHON 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	10452	AZ
2	363A00000X	Physician Assistant	OA007526	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891447900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA MARIE MAHON PA-C

Provider Business Mailing Address
First Line	:	3803 W CHESTER PIKE STE 160
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2336
Country	:	US
Telephone Number	:	484-337-4097
Fax Number	:	484-337-4082

Provider Business Practice Location Address
First Line	:	130 S BRYN MAWR AVE
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3121
Country	:	US
Telephone Number	:	484-337-4097
Fax Number	:	484-337-4082

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

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	02/07/2026

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Directions to “ JANA MARIE MAHON PA-C” Practice Location

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