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
Janice Schifferli 740 High St, Williamsport, PA 17701-3111 FAMILY PRACTICE
Kacy Jenkins 700 High St, Williamsport, PA 17701-3100 CERTIFIED REGISTERED NURSE ANESTHETIST
Warren Robinson 1100 Grampian Blvd, Williamsport, PA 17701-1909 HEMATOLOGY/ONCOLOGY
Lisa Koropchak 700 High St, Williamsport, PA 17701-3100 PHYSICIAN ASSISTANT
Mary Jeanne De Leon 1100 Grampian Blvd, Williamsport, PA 17701-1909 ENDOCRINOLOGY
Alicia Meadows 1705 Warren Ave, Williamsport, PA 17701-2647 RHEUMATOLOGY
Alexander Nesbitt 1100 Grampian Blvd, Williamsport, PA 17701-1909 HOSPICE/PALLIATIVE CARE
Laura Balmer 1100 Grampian Blvd, Williamsport, PA 17701-1909 NURSE PRACTITIONER
Crystale Cruz 700 High St, Williamsport, PA 17701-3198 GASTROENTEROLOGY
Yevgeny Zadov 700 High St, Williamsport, PA 17701-3100 PHYSICAL MEDICINE AND REHABILITATION
Janice Dreher 740 High St, Williamsport, PA 17701-3102 CERTIFIED NURSE MIDWIFE
Kevin Mccarthy 1017 Washington Blvd, Williamsport, PA 17701-3633 CHIROPRACTIC
Channon Cunningham 460 Market St, Williamsport, PA 17701-6321 CLINICAL SOCIAL WORKER
Susan Branton 1100 Grampian Blvd, Williamsport, PA 17701-1909 GENERAL SURGERY
Samantha Davis 580 E 3rd St, Williamsport, PA 17701-5317 CHIROPRACTIC
Carol Adams 700 High St, Williamsport, PA 17701-3100 CERTIFIED REGISTERED NURSE ANESTHETIST
James Mcclain 1100 Grampian Blvd, Williamsport, PA 17701-1909 ANESTHESIOLOGY
Ashok Kumar 100 Eck Circle, Williamsport, PA 17701-3865 ANESTHESIOLOGY
Waqas Adeel 700 High St, Williamsport, PA 17701-3100 INTERNAL MEDICINE
Justin Kelchner 700 High St, Williamsport, PA 17701-3100 PHYSICIAN ASSISTANT