Andrea Leigh Wickus, PAC
Andrea Leigh Wickus, PAC is a Physician Assistant in Leesport, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 22
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
5 S Centre AveLeesport, PA 19533
Phone: (610) 926-5707
Fax: (610) 926-8352
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence OA005642 (PA) |
|---|
Record details
| NPI number | 1104881879 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2006 |
| Last updated in NPPES | January 20, 2023 |
| Certification date | January 20, 2023 |
| Mailing address | 5 S Centre Ave, Leesport, PA 19533-8653 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Penn State Health Medical Group Llc — 711 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |