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Tiffany Ickiewicz in Conneaut Lake, Pennsylvania

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Tiffany Ickiewicz has Physician Assistant as her primary medical specialty. Their primary office is: 12387 Conneaut Lake Rd in Conneaut Lake, Pennsylvania. There is an additional office location, for a total of two, for Tiffany Ickiewicz that can be viewed further down.

They're a part of the: Primary Care Services medical group which has around 17 members. You can call their office at 814-373-4298 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2009 (around 15 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Tiffany M Ickiewicz Office Phone and Directions

Tiffany Ickiewicz
Primary Care Services
12387 Conneaut Lake Rd
Conneaut Lake, Pennsylvania 16316
814-373-4298


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Phone: 814-373-4298


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Healthcare Info for Tiffany Ickiewicz

Medical School: Sorry, her university is not listed
Graduation Year: 2009
The Primary Medical Specialty for Tiffany Ickiewicz is listed as: Physician Assistant
Approximate Years of Experience: 15
PAC (PECOS ID)#: 7214112267
NPI #: 1902101140
NPI Created On: 01/19/2011
NPI Last Updated Listed as: 07/06/2021
Primary Taxonomy Code: 363A00000X
License Number:
MA054038
Listed Gender: Female

Procedures, Services, Charges


Services and Procedures include:

  1. Established patient office or other outpatient, visit typically 25 minutes
  2. Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 810652205

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: RYBELSUS

Associated Drug #2: 0169-4303-13


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811034819

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: RYBELSUS

Open Associated Drug #1: 0169-4303-13

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: Ozempic

Associated Drug #2: 0169-4132-12


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811305655

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: RYBELSUS

Open Associated Drug #1: 0169-4303-13

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: Ozempic

Associated Drug #2: 0169-4132-12


Additional Office Locations

1. Primary Care Services
991 Park Ave
Meadville, PA 16335
Group Members: 17


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Physician Assistant Professionals in Conneaut Lake

10926 State Hwy 18
Conneaut-lake, PA
Titusville Area Hospital

12387 Conneaut Lake Rd
Conneaut-lake, PA
Primary Care Services

12387 Conneaut Lake Rd
Conneaut-lake, PA
Primary Care Services

Providers in Primary Care Services

1.Anne Lise Armstrong

12387 Conneaut Lake Rd
Conneaut Lake Pa 16316-4203
Primary Care Services
Internal Medicine

2.Anne Lise Armstrong

991 Park Ave
Meadville Pa 16335-3344
Primary Care Services
Internal Medicine

3.Robert Bazylak Md

12387 Conneaut Lake Rd
Conneaut Lake Pa 16316-4203
Primary Care Services
Family Practice

4.Robert Bazylak Md

991 Park Ave
Meadville Pa 16335-3344
Primary Care Services
Family Practice

5.Kaelyn Betts

8508 State Hwy 285
Conneaut Lake Pa 16316-1120
Primary Care Services
Nurse Practitioner

6.Ryan Evans

12387 Conneaut Lake Rd
Conneaut Lake Pa 16316-4203
Primary Care Services
Internal Medicine

View all 17 members of Primary Care Services medical group