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Kaitlyn Jayne Eagle

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

300 Halket St, Pittsburgh, PA 15213-3108

PECOS Enrollment

This provider is enrolled in PECOS as KAITLYN EAGLE.

Based on the most recent information from CMS, provider Kaitlyn Jayne Eagle is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033694203
Provider Type
Individual
Full Name
Eagle, Kaitlyn Jayne
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/3/2018
Last Updated
10/3/2018

Contact Information

Practice Location

300 Halket St, Pittsburgh, PA 15213-3108

(412) 641-1000

Unlisted Fax

Mailing Location

200 Cliffside Mnr Apt 8, Pittsburgh, PA 15202-1638

(724) 630-8607

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA060089 Pennsylvania

Kaitlyn Jayne Eagle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hanlon, Ellie

Christy, Madalyn Adele

Luttner, Elizabeth Marie

Miller, Sara Nicole

Liberto, Kathryn

Mellon, Kristin

Trofimova, Svetlana V

O'Neil, Caroline Anne

Fillipih, Rebecca A

Dykstra, Kiersten