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

Mary Margaret McCoy, PA

Individual provider Physician Assistant · NPI 1518264761

Mary Margaret McCoy, PA is a Physician Assistant in Shawano, Wisconsin. Qualified in 2010, 16 years ago. Practices with Thedacare Medical Center - Shawano, Inc, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Wisconsin.

Years since qualifying
16
Licensed in
NY, WI
In the registry since
2011
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

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 823-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Eastchester Rd, Bronx, NY 10461-2301 — (718) 904-2400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3014 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 014485 (NY)

Record details

NPI number1518264761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 24, 2011
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Thedacare Medical Center - Shawano, Inc. — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawano