Jamie Clare Worsley, D.O
Individual provider Active NPI Family Medicine Physician · Williamsport, MD
NPI 1417375692 · NPPES record last updated Aug 21, 2018
Key facts
- NPI
- 1417375692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H0082811 (MD)
- Practice address
- 16605 Kendle Rd
Williamsport, MD 21795 - Phone
- (301) 223-1241
- NPI assigned
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000
Hospital & facility affiliations
- Meritus Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170915001491 | MD | Practitioner - Family Practice |
0547534455 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0082811 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Current |
Accepting new patients | |
| Medical Practices of Antietam LLC | Current |
Accepting new patients | |
| Mdics at Meritus Medical Center, LLC | Current |
Accepting new patients | |
| Meritus Medical Center Inc | Current |
Accepting new patients | |
| Medical Practices of Antietam, LLC | Family Medicine | Current |
Accepting new patients |
| Karen Jill Ciccarelli, M.D. PC | Family Medicine | Current |
Accepting new patients |
| Meritus Medical Center Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11116 Medical Campus Rd
Ste 2810
Hagerstown, MD 21742
Phone (240) 313-9580
11110 Medical Campus Rd
Ste 200
Hagerstown, MD 21742
Phone (301) 714-4300
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
Interoperability endpoints
- https://api.platform.athenahealth.com/21601/brand/1/csg/1/fhir/r4
- jamie.worsley.1@21601.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | H0082811 | MD | Yes |
Addresses
Primary practice location
16605 Kendle Rd
Williamsport, MD 21795
Mailing address
7250 Parkway Dr
Ste 500
Hanover, MD 21076-1343
Phone (443) 949-0814
Other names
- Dr. Jamie Clare Ciccarelli
Other providers in Williamsport, MD
- Hannah Williams
- Williamsport Operator LLC
- Williamsport Volunteer Ambulance SVC, Inc.
- Williamsport Volunteer Fire and Emergency Medical Services, Inc.
- Windbrook Anesthesia LLC
All providers in Williamsport, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.