Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary G Petrick, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1639134919

Dr. Mary G Petrick, MD is a Dermatology in Danville, Pennsylvania. Graduated from George Washington University School of Medicine in 1997, 29 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Trained at
George Washington University School of Medicine
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

16 Woodbine Ln
Danville, PA 17822-5206
Phone: (570) 271-8050
Fax: (570) 271-5940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD072732L (PA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD072732L (PA)

Record details

NPI number1639134919
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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