Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Devon M Bizarre, PA-C

Individual provider Physician Assistant · NPI 1396212767

Devon M Bizarre, PA-C is a Physician Assistant in Coaldale, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Gslpg, Inc, a 267-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

360 W Ruddle St
Coaldale, PA 18218-1027
Phone: (570) 645-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Ostrum St, Bethlehem, PA 18015-1000 — (484) 526-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA004682 (PA)

Record details

NPI number1396212767
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2018
Last updated in NPPESOctober 24, 2018
Mailing address801 Ostrum St, Bethlehem, PA 18015-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Gslpg, Inc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Coaldale