Jordan Joseph Lichty, MD | |
1800 E Park Ave, State College, PA 16803-6709 | |
(814) 231-7000 | |
Not Available |
Full Name | Jordan Joseph Lichty |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 14 Years |
Location | 1800 E Park Ave, State College, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619286473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT197760 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | MD452089 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Nittany Medical Center | State college, PA | Hospital |
Nason Medical Center, Llc | Roaring spring, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount Nittany Medical Center | 2365353364 | 47 |
Grove City Anesthesia And Pain Management, Pllc | 4688860455 | 64 |
Entity Name | Grove City Anesthesia & Pain Management, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528371556 PECOS PAC ID: 4688860455 Enrollment ID: O20101119000456 |
Entity Name | Mount Nittany Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528321015 PECOS PAC ID: 2365353364 Enrollment ID: O20120803000492 |
Mailing Address | Practice Location Address |
---|---|
Jordan Joseph Lichty, MD Po Box 16, State College, PA 16804-0016 Ph: (814) 466-5090 | Jordan Joseph Lichty, MD 1800 E Park Ave, State College, PA 16803-6709 Ph: (814) 231-7000 |
William H Justice, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Benny Y Wang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Drive, State College, PA 16801 Phone: 814-272-5011 | |
Jennifer L Gilbert, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803 Phone: 814-237-3360 Fax: 814-237-2130 | |
Darlene Singler, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2102 | |
David C Sterner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Michael Louis Lescanic, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 | |
Danae M Powers, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 965 Crab Apple Drive, State College, PA 16801 Phone: 814-231-5223 |