Rebecca Sticht (NPI# 1780023481, PAC ID# 6800023110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780023481 |
| PAC ID by PECOS | 6800023110 |
| Professional Enrollment ID | I20131212000476 |
| Full Name | Rebecca Sticht |
| Organization Legal Name | PREFERRED PHYSICIAN CARE PC |
| Address |
2816 Pleasant Ave Lakeview NY 14085-9624 |
| Phone Number | 7166465500 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799945911 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 33 -57 Harrison St, Johnson City, NY 13790-2107 | 6077636101 | UNITED HEALTH SERVICES HOSPITALS INC |
| 2816 Pleasant Ave, Lakeview, NY 14085-9624 | 7166465500 | PREFERRED PHYSICIAN CARE PC |
| Organization Legal Name | PREFERRED PHYSICIAN CARE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Pellicore | Nurse Practitioner | Preferred Physician Care PC | 2816 Pleasant Ave, Lakeview, NY 14085-9624 |
| Virginia M Kaufman | Physician Assistant | Preferred Physician Care PC | 2816 Pleasant Ave, Lakeview, NY 14085-9624 |
| Street Address |
2816 PLEASANT AVE |
| City | LAKEVIEW |
| State | NY |
| Zip | 14085-9624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Pellicore | Nurse Practitioner | Preferred Physician Care PC | 2816 Pleasant Ave, Lakeview, NY 14085-9624 |
| Virginia M Kaufman | Physician Assistant | Preferred Physician Care PC | 2816 Pleasant Ave, Lakeview, NY 14085-9624 |
| City | LAKEVIEW |
| Zip Code | 14085 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKEVIEW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Rebecca Sticht.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.