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STACEY LOUISE MAZZACCO MD NPI 1265413207


NPI Information

NPI: 1265413207
Provider Name: STACEY LOUISE MAZZACCO, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: LANCASTER GENERAL MEDICAL GROUP

PECOS Registration: Yes

Address:
2104 HARRISBURG PIKE
STE 200
LANCASTER, PA
ZIP 17601
Phone: (717) 544-3626
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Stacey Louise Mazzacco, MD is a vascular surgery surgery in Lancaster, PA with 36 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Stacey Louise Mazzacco, MD NPI is 1265413207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

2104 HARRISBURG PIKE
STE 200
LANCASTER, PA
ZIP 17601-644
Phone: (717) 544-3626
Fax: (717) 544-3628

The NPI 1265413207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wounds per session (HCPCS:97597)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

The enumeration date for this NPI number is 11/8/2005 and was last updated on 9/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD053932LPENNSYLVANIANo
22086S0129XSurgeryVascular SurgeryMD053932LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020048899OTHERPENNSYLVANIARAILROAD MEDICARE
20178844MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.