Karen Jill Ciccarelli, M.d. Pc | |
16605 Kendle Rd Williamsport MD 21795-1614 | |
(301) 223-4529 | |
(301) 223-1240 |
Full Name | Karen Jill Ciccarelli, M.d. Pc |
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Speciality | Family Medicine |
Location | 16605 Kendle Rd, Williamsport, Maryland |
Authorized Official Name and Position | Karen Jill Ciccarelli (CEO) |
Authorized Official Contact | 3012234529 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Karen Jill Ciccarelli, M.d. Pc 16605 Kendle Rd Williamsport MD 21795-1614 Ph: (301) 223-4529 | Karen Jill Ciccarelli, M.d. Pc 16605 Kendle Rd Williamsport MD 21795-1614 Ph: (301) 223-4529 |
NPI Number | 1619010170 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 03/17/2008 |
Medicare PECOS PAC ID | 5890896211 |
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Medicare Enrollment ID | O20070728000113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619010170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0052136 (Maryland) | Primary |
Provider Name | Karen J Ciccarelli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508894023 PECOS PAC ID: 0345341764 Enrollment ID: I20070728000121 |
Provider Name | Jamie C Worsley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417375692 PECOS PAC ID: 0547534455 Enrollment ID: I20170915001491 |
Mdics Rehabilitative Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 N Artizan St, Williamsport, MD 21795 Phone: 301-582-1711 | |
Premise Health Of Maryland Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16301 Elliott Pkwy, Williamsport, MD 21795 Phone: 240-313-3818 Fax: 240-673-3823 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16305 Elliott Parkway, Williamsport, MD 21795 Phone: 240-313-3818 Fax: 240-673-3823 | |
Premise Health Of Maryland Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16505 Virginia Ave, Williamsport, MD 21795 Phone: 301-582-5404 |