Grady Thomas Egan, PA-C is a medicare enrolled "Physician Assistant" in Tamaqua, Pennsylvania. His current practice location is
120 Pine St, Tamaqua, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 526-1735.
Grady Thomas Egan is licensed to practice in Pennsylvania (license number MA066436) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841001757.
Provider's Profile
Full Name | Grady Thomas Egan |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 120 Pine St, Tamaqua, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841001757
- Provider Enumeration Date: 01/20/2025
- Last Update Date: 02/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567983778
- Enrollment ID: I20250304003024
Medical Identifiers
Medical identifiers for Grady Thomas Egan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841001757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | OA007184 (Pennsylvania) | Secondary |
363AS0400X | Physician Assistant - Surgical | OA007184 (Pennsylvania) | Secondary |
363AS0400X | Physician Assistant - Surgical | MA066436 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | MA066436 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grady Thomas Egan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grady Thomas Egan, PA-C 120 Pine St, Tamaqua, PA 18252-1409 Ph: (484) 526-1735 | Grady Thomas Egan, PA-C 120 Pine St, Tamaqua, PA 18252-1409 Ph: (484) 526-1735 |
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