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

Stacey Louise Mazzacco, MD

Individual provider Surgery Physician · NPI 1265413207

Stacey Louise Mazzacco, MD is a Vascular Surgery in Lancaster, Pennsylvania. Graduated from Temple University School of Medicine in 1988, 38 years ago. Practices with Lancaster General Medical Group, a 582-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone: (717) 544-3626
Fax: (717) 544-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD053932L (PA)
Surgery Physician Taxonomy 208600000X · Licence MD053932L (PA)

Record details

NPI number1265413207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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