| Dr Nicole Kulisek, MD | |
|
500 Arcola Rd, Collegeville, PA 19426-3982 | |
| (646) 942-6148 | |
| Not Available |
| Full Name | Dr Nicole Kulisek |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 500 Arcola Rd, Collegeville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043374986 | NPI | - | NPPES |
| 03437845 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 249629 (New York) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 248629 (New York) | Primary |
| Entity Name | Tjh Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
| Entity Name | Flushing Hospital & Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
| Entity Name | Jamaica Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Kulisek, MD 3000 Valley Forge Cir Apt 1543, King Of Prussia, PA 19406-1150 Ph: (617) 251-4803 | Dr Nicole Kulisek, MD 500 Arcola Rd, Collegeville, PA 19426-3982 Ph: (646) 942-6148 |
Elizabeth Ann Filler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3770 Ridge Pike, Collegeville, PA 19426 Phone: 484-832-8843 | |
Dr. Peter Bulkeley Langmuir, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1250 S Collegeville Rd, Collegeville, PA 19426 Phone: 215-805-3112 | |
Dr. Larissa F Dominy, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 409 Second Ave Ste 303, Collegeville, PA 19426 Phone: 610-409-8050 Fax: 610-409-8075 | |
Dr. Perry D Nisen, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1250 S Collegeville Rd, Up1455, Collegeville, PA 19426 Phone: 610-917-6754 Fax: 610-917-4181 | |
Dr. Gayathri Sudhakar Rao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 599 Arcola Rd, Nemours Dupont Pediatrics, Collegeville, Collegeville, PA 19426 Phone: 302-651-6660 Fax: 302-651-5345 | |
Shannon L. Vitelli, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 17 Iron Bridge Dr Ste 100, Collegeville, PA 19426 Phone: 484-622-6340 Fax: 484-622-6357 |