MEDICARE: MR. JOHN GREGORY SCOTT P.A.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	304	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	810347861	OTHER	MT	CHAMPUS
2	0221549	OTHER	MT	WASHINGTON L & I
3	000097253	OTHER	MT	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558307371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN GREGORY SCOTT P.A.C

Provider Business Mailing Address
First Line	:	500 15TH AVE S
Second Line	:	SUITE 1
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4324
Country	:	US
Telephone Number	:	406-455-3650
Fax Number	:	406-455-3695

Provider Business Practice Location Address
First Line	:	500 15TH AVE S
Second Line	:	SUITE 1
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4324
Country	:	US
Telephone Number	:	406-455-3650
Fax Number	:	406-455-3695

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	04/08/2024

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Directions to “ MR. JOHN GREGORY SCOTT P.A.C” Practice Location

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