Lee Michael Ciccarelli Geriatric Medicine
1251 Rural Ave, Williamsport, PA 17701-1697


Lee Michael Ciccarelli is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1417909029. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6305880899. The medical credential is MD. The primary specialty is GERIATRIC MEDICINE. The address is 1251 Rural Ave, Williamsport, PA 17701-1697. The zip code is 17701.


Lee Michael Ciccarelli · 1251 Rural Ave, Williamsport, PA 17701-1697

Nation Provider ID 1417909029
PAC ID by PECOS 6305880899
Professional Enrollment ID I20050615000633
Last Name CICCARELLI
First Name LEE
Middle Name MICHAEL
Gender M
Credential MD
Medical School Name BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY
Graduation Year 1978
Primary Specialty GERIATRIC MEDICINE
Secondary Specialties INTERNAL MEDICINE
Phone Number 5703279480
Address 1251 RURAL AVE
WILLIAMSPORT, PA 177011697
Claims Based Hospital Affiliation Claim Control Number (CCN): 390045
Legal Business Name: WILLIAMSPORT REGIONAL MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 390006
Legal Business Name: GEISINGER MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 391300
Legal Business Name: JERSEY SHORE HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 391301
Legal Business Name: MUNCY VALLEY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 391316
Legal Business Name:
Professional accepts Medicare Assignment Y

Zip 17701 · Medicare Physician

Name Address Specialty
Quinne Farrington 1521 Washington Blvd, Williamsport, PA 17701-5426 PSYCHIATRY
Janice Schifferli 740 High St, Williamsport, PA 17701-3111 FAMILY PRACTICE
Jeremy Bennett 1205 Grampian Blvd, Williamsport, PA 17701-1970 PSYCHIATRY
Sarah Knight 435 W 4th St, Williamsport, PA 17701-6001 CLINICAL SOCIAL WORKER
Jeffrey Verzella 740 High St, Williamsport, PA 17701-3111 FAMILY PRACTICE
Timothy Douglass 700 High St, Williamsport, PA 17701-3100 CERTIFIED REGISTERED NURSE ANESTHETIST
Fahmi Rahman 700 High St, Williamsport, PA 17701-3100 INTERNAL MEDICINE
Seth Bower 1040 Westminster Dr, Williamsport, PA 17701-3912 CHIROPRACTIC
Gregory Miller 700 High St, Williamsport, PA 17701-3100 CERTIFIED REGISTERED NURSE ANESTHETIST
Glenda Stroud 700 High St, Williamsport, PA 17701-3100 CERTIFIED REGISTERED NURSE ANESTHETIST
Karinne Geyer 700 High St, Williamsport, PA 17701-3100 PHYSICIAN ASSISTANT
Kevin Kinkead 1100 Grampian Blvd, Williamsport, PA 17701-1909 ANESTHESIOLOGY
John Cillo 332 Ctr St, Williamsport, PA 17701-6048 CHIROPRACTIC
Michelle Dangle 1100 Grampian Blvd, Williamsport, PA 17701-1909 NURSE PRACTITIONER
David Wascher 1905 Mill Ln, Williamsport, PA 17701-1527 CHIROPRACTIC
Ayaz Khan 553 E 3rd St, Williamsport, PA 17701-5316 PAIN MANAGEMENT
Mark Osevala 740 High St, Williamsport, PA 17701-3102 CARDIAC SURGERY
Marcia Fineman Rear 1012 Washington Blvd, Williamsport, PA 17701-3684 CLINICAL SOCIAL WORKER
Steven Pinckney 740 High St, Williamsport, PA 17701-3111 FAMILY PRACTICE
Hani Tuffaha 904 Campbell St, Williamsport, PA 17701-3166 NEUROSURGERY