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

Mr. Alexander M Piczon, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1992756704

Mr. Alexander M Piczon, PHYSICIANASSISTANT is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Licensed in
PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1175 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone: (570) 808-1093
Fax: (570) 808-7878
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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 MA052371 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA052371 (PA)

Record details

NPI number1992756704
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Wilkes Barre