| Dr Jared Cicero, DPM | |
|
48 Tunnel Rd Ste 203, Pottsville, PA 17901 | |
| (570) 624-4777 | |
| Not Available |
| Full Name | Dr Jared Cicero |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 48 Tunnel Rd Ste 203, Pottsville, 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 |
|---|---|---|---|
| 1942722152 | NPI | - | NPPES |
| 481 | Other | KY | KENTUCKY STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 481 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Medical Group, P.c. | 1355247180 | 99 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Provider Name | Integrated Medical Group P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336102268 PECOS PAC ID: 1355247180 Enrollment ID: O20031211000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared Cicero, DPM 48 Tunnel Rd, Pottsville, PA 17901-3875 Ph: (570) 624-4777 | Dr Jared Cicero, DPM 48 Tunnel Rd Ste 203, Pottsville, PA 17901 Ph: (570) 624-4777 |
Integrated Medical Group, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1626 Mount Hope Ave, Pottsville, PA 17901 Phone: 570-622-2230 Fax: 570-622-5724 | |
Dr. Gary A Cortese, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1626 Mount Hope Ave, Pottsville, PA 17901 Phone: 570-622-2230 Fax: 570-622-5724 | |
Gary A Cortese, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1626 Mount Hope Ave, Pottsville, PA 17901 Phone: 570-622-2230 Fax: 570-622-5724 | |
Peter P Sidoriak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1851 West End Ave, Pottsville, PA 17901 Phone: 570-622-3668 Fax: 570-622-2920 |