MEDICARE: MEGAN MARIE THOMPSON PAC

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	50.003453	OH
2	363A00000X	Physician Assistant	552	WV
3	363A00000X	Physician Assistant	50.003453RX	OH

General Provider Information

NPI Number	:	1649556218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MARIE THOMPSON PAC

Provider Business Mailing Address
First Line	:	PO BOX 449
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-0449
Country	:	US
Telephone Number	:	740-374-4500
Fax Number	:	740-374-5887

Provider Business Practice Location Address
First Line	:	1006 WASHINGTON BLVD STE G
Second Line	:	EXPRESS CARE BELPRE
City	:	BELPRE
State	:	OH
Zip	:	45714-4005
Country	:	US
Telephone Number	:	740-423-3240
Fax Number	:

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

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	02/20/2026

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