Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Prezkop, PA

Individual provider Physician Assistant · NPI 1609568625

Jillian Prezkop, PA is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone: (570) 808-7916
Fax: (570) 808-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066237 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MP8302060 (PA)

Record details

NPI number1609568625
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 26, 2023
Last updated in NPPESApril 1, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wilkes Barre