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

Kyle Pane, PA

Individual provider Physician Assistant · NPI 1851874549

Kyle Pane, PA is a Physician Assistant in Brodheadsville, Pennsylvania. Qualified in 2018, 8 years ago. Practices with St Luke's Hospital, a 100-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
8
Licensed in
NY, PA
In the registry since
2018
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

111 Route 715 Ste 100
Brodheadsville, PA 18322-7101
Phone: (272) 212-0426
Fax: (607) 729-3982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA061510 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 022334 (NY)

Record details

NPI number1851874549
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address111 Route 715 Ste 100, Brodheadsville, PA 18322-7101

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 St Luke'S Hospital — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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