Stacey L Mazzacco (NPI# 1265413207, PAC ID# 8921122961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1265413207 |
| PAC ID by PECOS | 8921122961 |
| Professional Enrollment ID | I20100929000547 |
| Full Name | Stacey L Mazzacco |
| Organization Legal Name | LANCASTER GENERAL MEDICAL GROUP |
| Address |
2100 Harrisburg Pike Suite 2112 Lancaster PA 17601-2644 |
| Phone Number | 7175443216 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0941103683 |
| Number of Group Practice Members | 347 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390100 | LANCASTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1655 Crooked Oak Dr, Lancaster, PA 17601-4207 | LANCASTER GENERAL MEDICAL GROUP | |
| 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 | 7175443216 | LANCASTER GENERAL MEDICAL GROUP |
| 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | LANCASTER GENERAL MEDICAL GROUP | |
| 2102 Harrisburg Pike, Plastic and Cosmetic Surgery, Lancaster, PA 17601-2644 | 7172915863 | LANCASTER GENERAL MEDICAL GROUP |
| 2104 Harrisburg Pike, Suite 200, Lancaster, PA 17601-2644 | 7175443626 | LANCASTER GENERAL MEDICAL GROUP |
| 2106 Harrisburg Pike, Suite 301, Lancaster, PA 17601-2644 | 7175443517 | LANCASTER GENERAL MEDICAL GROUP |
| 2108 Harrisburg Pike, Lancaster, PA 17601-2644 | LANCASTER GENERAL MEDICAL GROUP | |
| 2110 Harrisburg Pike, Lancaster, PA 17601-2644 | LANCASTER GENERAL MEDICAL GROUP | |
| 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | LANCASTER GENERAL MEDICAL GROUP | |
| 2150 Harrisburg Pike, Suite 200a, Lancaster, PA 17601-2644 | LANCASTER GENERAL MEDICAL GROUP | |
| 554 N Duke St, Lghp Penn Med Plastic and Cosmetic Surgery, Lancaster, PA 17602-2250 | 7172915863 | LANCASTER GENERAL MEDICAL GROUP |
| 555 N Duke St, 1st Floor Lgmg D/b/a Bhs 555 North Duke St, Lancaster, PA 17602-2250 | 7175603782 | LANCASTER GENERAL MEDICAL GROUP |
| 555 N Duke St 1st Floor, Lghp Penn Medicine Behavioral Health, Lancaster, PA 17602-2250 | 7175603782 | LANCASTER GENERAL MEDICAL GROUP |
| 555 N Duke St Neuroscience Service Line Ad, Penn Medicine Lghp Neurology, Lancaster, PA 17602-2250 | 7175445008 | LANCASTER GENERAL MEDICAL GROUP |
| Organization Legal Name | LANCASTER GENERAL MEDICAL GROUP |
| Physicians | 367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgia Perry | Family Medicine | Lancaster General Medical Group | 1655 Crooked Oak Dr, Lancaster, PA 17601-4207 |
| Kristine A Vanselow | Family Medicine | Lancaster General Medical Group | 146 E Main St, Penn Medicine Lghp Family Medicine Leola, Leola, PA 17540-1964 |
| Heather Heck | Nurse Practitioner | Lancaster General Medical Group | 562 W 2nd Ave, Lghp Penn Medicine Family Medicine Lititz, Lititz, PA 17543-1816 |
| Kanchana Nilupul Herath | Rheumatology | Lancaster General Medical Group | 426 Cloverleaf Rd, Elizabethtown, PA 17022-9320 |
| Amy Lynn Kerschner | Clinical Social Worker | Lancaster General Medical Group | 540 N Duke St 3rd Fl, Behavioral Health, Lancaster, PA 17602-2208 |
| Nataliya Melnyk | Hematology/oncology | Lancaster General Medical Group | 554 N Duke St, Lghp Penn Med Plastic and Cosmetic Surgery, Lancaster, PA 17602-2250 |
| Lara G Kobrin | Family Medicine | Lancaster General Medical Group | 2108 Harrisburg Pike, Suite 310, Lancaster, PA 17601-2644 |
| Jessica Ashley Quirin | Nurse Practitioner | Lancaster General Medical Group | 1605 Lititz Pike, Lancaster, PA 17601-6507 |
| Samantha M Swords | Family Medicine | Lancaster General Medical Group | 222 Willow Valley Lakes Dr, 1900 Penn Medicine Lghp Fam Medicine Willow Street, Willow Street, PA 17584-9670 |
| Alison M Stanley | Family Medicine | Lancaster General Medical Group | 544 N Penryn Rd, Lghp/pm Family Medicine Manheim, Manheim, PA 17545-8562 |
| Street Address |
2100 HARRISBURG PIKE SUITE 2112 |
| City | LANCASTER |
| State | PA |
| Zip | 17601-2644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tony T Ton-that | Physical Medicine and Rehabilitation | Lancaster General Hospital | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 |
| William Roberts | Family Medicine | Lancaster General Medical Group | 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 |
| Fiona Marie Gaunay | Colorectal Surgery (proctology) | Lancaster General Medical Group | 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 |
| Steven L Parker | General Surgery | Lancaster General Medical Group | 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 |
| Stephen Wehibe | Family Medicine | Lancaster General Medical Group | 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 |
| Erica R Sherer | Certified Registered Nurse Anesthetist (crna) | Lancaster General Hospital | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Jon E Bentz | Psychologist, Clinical | Lancaster General Hospital | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Thomas Matthew O Connor | Vascular Surgery | Lancaster General Medical Group | 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 |
| Edward J Purzycki | Psychologist, Clinical | Lancaster General Hospital | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Zachary A Ichter | General Surgery | Lancaster General Medical Group | 2100 Harrisburg Pike, Suite 2112, Lancaster, PA 17601-2644 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franklin D Deguzman | Psychiatry | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Lizabeth Potter | Psychiatry | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Theresa A Baker | Clinical Social Worker | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Karen Mcclure-snodgrass | Clinical Psychologist | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| James Kethledge Fugate Jr. | Pediatric Medicine | Penn State Health Community Medical Group, LLC | 3045 Marietta Ave, Lancaster, PA 17601-1321 |
| Spage Yee | Ophthalmology | 330 Centerville Rd, Lancaster, PA 17601-1326 | |
| Rustin Warren Glass | Chiropractic | 900 Centerville Rd, Suite B, Lancaster, PA 17601-1487 | |
| Kayla Wirth | Physician Assistant | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Robin L Rochow | Physician Assistant | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Stephen Daniel Lockey Iii | Allergy/immunology | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Find all physicians in zip 17601 | |||
| City | LANCASTER |
| Zip Code | 17601 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | LANCASTER + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Stacey L Mazzacco.
| 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.