Andrea Leigh Wickus, PAC is a medicare enrolled "Physician Assistant" in Leesport, Pennsylvania. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Penn State Health Community Medical Group Llc and her current practice location is
5 S Centre Avenue, Leesport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 926-5707.
Andrea Leigh Wickus is licensed to practice in Pennsylvania (license number OA005642) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104881879.
Provider's Profile
Full Name | Andrea Leigh Wickus |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 20 Years |
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Location | 5 S Centre Avenue, Leesport, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrea Leigh Wickus graduated from nursing school in 2004
NPI Data:
- NPI Number: 1104881879
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496703159
- Enrollment ID: I20050110000895
Medical Identifiers
Medical identifiers for Andrea Leigh Wickus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104881879 | NPI | - | NPPES |
50053971 | Other | PA | CAPITAL BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | OA005642 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Penn State Health Community Medical Group Llc | 8729351077 | 657 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Leigh Wickus is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrea Leigh Wickus, PAC 5 S Centre Ave, Leesport, PA 19533-8653 Ph: (610) 926-5707 | Andrea Leigh Wickus, PAC 5 S Centre Avenue, Leesport, PA 19533 Ph: (610) 926-5707 |
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