Kelly S Mickulik (NPI# 1386643880, PAC ID# 9931125531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386643880 |
| PAC ID by PECOS | 9931125531 |
| Professional Enrollment ID | I20051024000058 |
| Full Name | Kelly S Mickulik |
| Organization Legal Name | PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC |
| Address |
5125 Jonestown Rd Suite 105 Harrisburg PA 17112-2987 |
| Phone Number | 7179431566 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193900280 |
| Number of Group Practice Members | 130 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390044 | READING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 | 7179431566 | PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC |
| 3317 Penn Ave, West Lawn, PA 19609-1436 | 6106448225 | READING DERMATOLOGY ASSOCIATES PC |
| 2000 Cambridge Ave, Wyomissing, PA 19610-2714 | 4846287659 | READING DERMATOLOGY ASSOCIATES PC |
| 2600 Papermill Rd, Wyomissing, PA 19610-3362 | 4842200051 | PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC |
| Organization Legal Name | PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariam Mirza | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 |
| Darshan B Patel | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Carol S Struminger | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 107 S Sporting Hill Rd, Mechanicsburg, PA 17050-3058 |
| Lindsey Beauboeuf | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Christopher L Kirby | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Laura B Roper | Emergency Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Erin C Varney | Physician Assistant | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Nilofer J Tohfafarosh | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Dana L Mincer | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Anthony J Desmarais | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Street Address |
5125 JONESTOWN RD SUITE 105 |
| City | HARRISBURG |
| State | PA |
| Zip | 17112-2987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darshan B Patel | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Lindsey Beauboeuf | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Christopher L Kirby | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Laura B Roper | Emergency Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Erin C Varney | Physician Assistant | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Nilofer J Tohfafarosh | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Dana L Mincer | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Anthony J Desmarais | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Christina S Knecht | Physician Assistant | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Shannon K Lieb | Family Medicine | Patient First Pennsylvania Medical Group Pllc | 5125 Jonestown Rd, Suite 105, Harrisburg, PA 17112-2987 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A High | Psychologist, Clinical | Truenorth Wellness Services | 53512 Jaycee Ave, Suite 1, Harrisburg, PA 17112 |
| Jillian Higgins | Clinical Social Worker | Truenorth Wellness Services | 53512 Jaycee Ave, Suite 1, Harrisburg, PA 17112 |
| Tracy Selby | Clinical Social Worker | Truenorth Wellness Services | 53512 Jaycee Ave, Suite 1, Harrisburg, PA 17112 |
| Claudette N Gbemudu-jatto | Internal Medicine | 2205 Forest Hills Dr, Suite 12, Harrisburg, PA 17112-1001 | |
| Jeffrey Lee Rajchel | Oral Surgery | 2201 Dover Rd, Harrisburg, PA 17112-1003 | |
| Jennifer E Weber | Family Medicine | Pinnacle Health Medical Services | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 |
| Chan Bich Ung | Nurse Practitioner | Pinnacle Health Medical Services | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 |
| Mason J Carp | Obstetrics/gynecology | 4212 Linglestown Rd, Harrisburg, PA 17112-1025 | |
| Bradford Sgrignoli | Ophthalmology | Pennsylvania Eye Associates, Ltd | 4100 Linglestown Rd, Harrisburg, PA 17112-1071 |
| Erik A Chotiner | Ophthalmology | Pennsylvania Eye Associates, Ltd | 4100 Linglestown Rd, Harrisburg, PA 17112-1071 |
| Find all physicians in zip 17112 | |||
| City | HARRISBURG |
| Zip Code | 17112 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HARRISBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly S Mickulik.
| 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.