| Sean Mickle, PA-C | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Sean Mickle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073861381 | NPI | - | NPPES |
| MA0055566 | Other | PA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA055566 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corning Hospital | Corning, NY | Hospital |
| Robert Packer Hospital | Sayre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2438 |
| Evangelical Medical Services Organization | 9133033087 | 255 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Robert Packer Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083614382 PECOS PAC ID: 8022915180 Enrollment ID: O20040310000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Mickle, PA-C 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Sean Mickle, PA-C 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Ms. Emily S. Oberst, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 |
Taylore Nikole Chesla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5349 |
Eric Bridenbaugh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4050 |
Miss Karen Ames Thomae, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Square, Sayre, PA 18840 Phone: 570-888-6666 |
Mr. Paul Eric Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |
Abigail Rose Link, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |
Patricia Ann Dodge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |