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

Katie Dodge, PAC

Individual provider Physician Assistant · NPI 1659108637

Katie Dodge, PAC is a Physician Assistant in Bethlehem, Pennsylvania. Qualified in 2024, 2 years ago. Practices with St Lukes Warren Physician Group PC, a 378-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

801 Ostrum St
Bethlehem, PA 18015-1000
Phone: (484) 526-4641
Fax: (484) 426-3027
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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 MA065941 (PA)

Record details

NPI number1659108637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
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 2024 (2 years in practice)
Group practice St Lukes Warren Physician Group Pc — 378 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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