MEDICARE: MEGAN MACVICAR

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	PA102396	MA

General Provider Information

NPI Number	:	1639056732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MACVICAR

Provider Business Mailing Address
First Line	:	55 FRUIT ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02114-2696
Country	:	US
Telephone Number	:	617-726-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 FRUIT ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02114-2696
Country	:	US
Telephone Number	:	617-726-2000
Fax Number	:

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

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	02/19/2026

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1669208211 — MS. AVERIE NAWA PA-C
Practice Location Address:

55 FRUIT ST
BOSTON, MA
02114-2696

Practice Phone: 617-732-5500
Practice Fax:

1285587667 — YURI-GRACE BRIDGES OHASHI
Practice Location Address:

55 FRUIT ST
BOSTON, MA
02114-2696

Practice Phone: 617-643-4699
Practice Fax:

1922627017 — DR. GABRIELA GARCIA DOLAGARAY MD
Practice Location Address:

55 FRUIT ST
BOSTON, MA
02114-2696

Practice Phone: 617-724-0288
Practice Fax:

1477376176 — ISABELLE GRACE BONGIORNO PA STUDENT
Practice Location Address:

55 FRUIT ST
BOSTON, MA
02114-2696

Practice Phone: 617-726-2000
Practice Fax:

1770517435 — REBECCA LYNN DUNKAILO M.D.
Practice Location Address:

MASSACHUSETTS GENERAL HOSPITAL , 55 FRUIT STREET, GRB 444
BOSTON, MA
02114-2696

Practice Phone: 617-726-3030
Practice Fax:

Directions to “ MEGAN MACVICAR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.