| Dr Joseph C Petrocelli, MD | |
|
910 Wallace Ave, Leitchfield, KY 42754-2414 | |
| (270) 259-3035 | |
| Not Available |
| Full Name | Dr Joseph C Petrocelli |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 910 Wallace Ave, Leitchfield, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538162268 | NPI | - | NPPES |
| 2433736000 | Other | KY | PASSPORT ADVANTAGE |
| 611269278001 | Other | KY | CHAMPUS |
| 1054879 | Other | KY | PASSPORT |
| 000000050793 | Other | KY | ANTHEM |
| 64206790 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 20679 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph C Petrocelli, MD 910 Wallace Ave, Leitchfield, KY 42754-2414 Ph: (270) 259-3035 | Dr Joseph C Petrocelli, MD 910 Wallace Ave, Leitchfield, KY 42754-2414 Ph: (270) 259-3035 |
Thomas J Schory, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave Ste 206, Leitchfield, KY 42754 Phone: 702-593-0352 Fax: 270-259-3332 |