Justin Wesley Gregory
Justin Wesley Gregory is a Physician Assistant in Belleville, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Broad Top Area Medical Center Inc, a 27-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2022
Practice location Address checks out
375 S Kishacoquillas StBelleville, PA 17004-8620
Phone: (717) 935-2065
Fax: (717) 935-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1730831132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | June 6, 2024 |
| Certification date | June 6, 2024 |
| Mailing address | 1200 Lake Marie Rd, Gallatin, TN 37066-8701 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Broad Top Area Medical Center Inc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |