Provider Demographics
NPI:1720152978
Name:GARRICK DRAGO, MONICA LYNN (MD, MSW)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LYNN
Last Name:GARRICK DRAGO
Suffix:
Gender:F
Credentials:MD, MSW
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:LYNN
Other - Last Name:GARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSW, MJ
Mailing Address - Street 1:400 NORTHPOINTE CIR STE 301
Mailing Address - Street 2:
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7867
Mailing Address - Country:US
Mailing Address - Phone:412-322-2129
Mailing Address - Fax:
Practice Address - Street 1:400 NORTHPOINTE CIR STE 301
Practice Address - Street 2:
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7867
Practice Address - Country:US
Practice Address - Phone:412-322-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038036E2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012033300006Medicaid
PA251661723 0012OtherCIGNA HEALTHCARE
PA252408OtherUPMC HEALTH PLAN
PA993771OtherHIGHMARK BCBS
PA2080870OtherAETNA HEALTH PLANS