Kelly Pucillo, MD in Waupaca, WI - Medicare Family Practice

Kelly Pucillo, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Incorporated and her current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 258-1160.

Kelly Pucillo is licensed to practice in Wisconsin (license number 49596-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548200595.

Contact Information

	Kelly Pucillo, MD
	710 Riverside Dr, Waupaca, WI 54981-1941
	(715) 258-1160
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Pucillo
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	710 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Pucillo attended and graduated from Medical College Of Wisconsin in 2005

NPI Data:

NPI Number: 1548200595
Provider Enumeration Date: 06/07/2006
Last Update Date: 03/15/2012

Medicare PECOS Information:

PECOS PAC ID: 6305913583
Enrollment ID: I20080930000622

Medical Identifiers

Medical identifiers for Kelly Pucillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548200595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	49596-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare At Home	Appleton, WI	Hospice
Thedacare Medical Center-waupaca	Waupaca, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Wi Veterans Hm Olson Hall	King, WI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare Incorporated	1759294887	493

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Pucillo allows following entities to bill medicare on her behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Pucillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Pucillo, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (608) 829-5247	Kelly Pucillo, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 258-1160

Reviews and Comments

Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD Family Medicine Medicare: Medicare Enrolled Practice Location: N2437 E Miner Dr, Waupaca, WI 54981 Phone: 608-475-0328 Fax: 715-256-5452
Ashley Tardieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079
Sarah C Durst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 915-756-3079
Dorrie Marie Happ, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 Fax: 715-256-3079
Molly Ann Szymanski, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Amy Nicole Mandeville, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Patty Kile, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160

Kelly Pucillo, MD - Medicare Family Practice in Waupaca, WI