| Susanna Elizabeth Pitruzzello, CRNP | |
|
6701 Airport Blvd., B Bldg., T Level, Mobile, AL 36608-3764 | |
| (251) 625-6896 | |
| Not Available |
| Full Name | Susanna Elizabeth Pitruzzello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 6701 Airport Blvd., Mobile, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811293087 | NPI | - | NPPES |
| 130124 | Medicaid | AL | |
| 212689 | Medicaid | AL | |
| P02453782 | Other | AL | RAILROAD MEDICARE |
| 102I506543 | Other | AL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 1102256 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-102256 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Springhill Medical Center | Mobile, AL | Hospital |
| Providence Hospital | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Cancer Center Pc | 5597860403 | 27 |
| Entity Name | University Of South Alabama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
| Entity Name | Southern Cancer Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578629556 PECOS PAC ID: 5597860403 Enrollment ID: O20070423000242 |
| Entity Name | Inpatient Consultants Of Alabama, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235238916 PECOS PAC ID: 6709983422 Enrollment ID: O20110805000011 |
| Entity Name | Carelon Medical Partners, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20150324002614 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Elizabeth Pitruzzello, CRNP 29653 Anchor Cross Blvd, Daphne, AL 36526-9594 Ph: (251) 625-6896 | Susanna Elizabeth Pitruzzello, CRNP 6701 Airport Blvd., B Bldg., T Level, Mobile, AL 36608-3764 Ph: (251) 625-6896 |