| Mrs Theresa Micknick, PAC | |
|
165 Fallbrook St, Carbondale, PA 18433 | |
| (570) 282-3151 | |
| Not Available |
| Full Name | Mrs Theresa Micknick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 165 Fallbrook St, Carbondale, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164774261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA001651L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Micknick, PAC 217 Bell Mountain Rd, Jermyn, PA 18433-3611 Ph: (570) 254-4663 | Mrs Theresa Micknick, PAC 165 Fallbrook St, Carbondale, PA 18433 Ph: (570) 282-3151 |
Mrs. Ann Bridget Diehl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 254 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-3347 | |
Miss Sharon Marie Savakinas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534 | |
Jacqueline Marie Hillriegel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-281-8594 | |
Mrs. Ashley Sue Machiesky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Lincoln Ave, Carbondale, PA 18407 Phone: 888-380-0342 | |
Casey Badik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 141 Salem Ave, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534 | |
Mr. Kenneth John Bannon, BSPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 Salem Avenue, Suite 302, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534 |