MEDICARE: MEGAN MARIE SKOWRONSKI 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	363AM0700X	Medical Physician Assistant	022044-1	NY
2	363A00000X	Physician Assistant	0010-11298	NC
3	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1528550225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MARIE SKOWRONSKI PA-C

Provider Business Mailing Address
First Line	:	PO BOX 601843
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-1843
Country	:	US
Telephone Number	:	704-627-8365
Fax Number	:	704-627-8366

Provider Business Practice Location Address
First Line	:	1530 S PROVIDENCE RD
Second Line	:
City	:	WAXHAW
State	:	NC
Zip	:	28173-8313
Country	:	US
Telephone Number	:	704-627-8365
Fax Number	:	704-627-8366

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

Provider Enumeration Date	:	05/30/2018
Last Update Date	:	10/16/2025

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