Dr Rosa Ciccarelli Roman, MD is a medicare enrolled "Pediatrics" physician in Muncy, Pennsylvania. Her current practice location is
255 Route 220 Hwy Ste 211, Muncy, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(800) 230-4565.
Dr Rosa Ciccarelli Roman is licensed to practice in Pennsylvania (license number MD485141) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780263566.
Physician's Profile
| Full Name | Dr Rosa Ciccarelli Roman |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 255 Route 220 Hwy Ste 211, Muncy, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780263566
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 09/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 1759784036
- Enrollment ID: I20210723002085
Medical Identifiers
Medical identifiers for Dr Rosa Ciccarelli Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780263566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | MD485141 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rosa Ciccarelli Roman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Rosa Ciccarelli Roman, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (800) 230-4565 | Dr Rosa Ciccarelli Roman, MD 255 Route 220 Hwy Ste 211, Muncy, PA 17756-7568 Ph: (800) 230-4565 |
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