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

Mark A Lacey, PAC

Individual provider Medical Physician Assistant · NPI 1629151501

Mark A Lacey, PAC is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 1985, 41 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
41
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone: (570) 808-6026
Fax: (570) 808-3298
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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 MA000855L (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA000855L (PA)

Record details

NPI number1629151501
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Wilkes Barre