MEDICARE: ANNA LYNN SCOTT 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

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	:	1255964250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA LYNN SCOTT PA

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:	614-544-2815
Fax Number	:	614-544-2816

Provider Business Practice Location Address
First Line	:	5141 W BROAD ST STE 150
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1984
Country	:	US
Telephone Number	:	614-544-1401
Fax Number	:	614-544-1403

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

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	06/05/2024

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Directions to “ ANNA LYNN SCOTT PA” Practice Location

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