MEDICARE: SARA ANN MCGILL

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

General Provider Information

NPI Number	:	1457037004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ANN MCGILL

Provider Business Mailing Address
First Line	:	3805 S HWS CLEVELAND BLVD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68130-5058
Country	:	US
Telephone Number	:	402-669-7438
Fax Number	:

Provider Business Practice Location Address
First Line	:	4245 N CENTRAL EXPY STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-4569
Country	:	US
Telephone Number	:	972-532-9968
Fax Number	:

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

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	06/30/2025

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Directions to “ SARA ANN MCGILL ” Practice Location

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