Physician Compare National (NPI:1235112517)

HEALTHCARE PROVIDER: MEGAN E DEACON-CASEY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235112517
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658353024
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040601001346
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEACON-CASEY
	Individual professional last name
Provider First Name	MEGAN
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	330 A1A
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 321
	Group Practice or individual's line 2 address
City	PONTE VEDRA BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	320821826
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y