MEDICARE: MAKENZIE FAITH SCOTT 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	363A00000X	Physician Assistant	MA067783	PA

General Provider Information

NPI Number	:	1891626537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKENZIE FAITH SCOTT PA-C

Provider Business Mailing Address
First Line	:	1631 ROUTE 56 HWY E
Second Line	:
City	:	HOMER CITY
State	:	PA
Zip	:	15748-6534
Country	:	US
Telephone Number	:	724-549-2352
Fax Number	:

Provider Business Practice Location Address
First Line	:	879 HOSPITAL RD STE 3200
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3629
Country	:	US
Telephone Number	:	724-464-2771
Fax Number	:	724-464-0274

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ MAKENZIE FAITH SCOTT PA-C” Practice Location

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