Individual
ANDREA LEIGH WICKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5 S CENTRE AVENUE, LEESPORT, PA 19533
(610) 926-5707
(610) 926-8352
Mailing address
5 S CENTRE AVE, LEESPORT, PA 19533-8653
(610) 926-5707
(610) 926-8352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA005642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50053971
CAPITAL BLUE CROSS
PA
Enumeration date
04/18/2006
Last updated
01/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us