| Gabrielle Pezzulo, PA-C | |
|
33 W Ridge Pike Ste 627, Limerick, PA 19468-1824 | |
| (610) 226-6200 | |
| Not Available |
| Full Name | Gabrielle Pezzulo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 33 W Ridge Pike Ste 627, Limerick, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588064174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA066269 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 017869-1 (New York) | Primary |
| Entity Name | Excel Urgent Care of Paramus LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063652220 PECOS PAC ID: 3971656018 Enrollment ID: O20090806000449 |
| Entity Name | Optum Medical Care of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
| Entity Name | Doctors Office of West Caldwell LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144524786 PECOS PAC ID: 7416130448 Enrollment ID: O20110329000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Pezzulo, PA-C Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324 | Gabrielle Pezzulo, PA-C 33 W Ridge Pike Ste 627, Limerick, PA 19468-1824 Ph: (610) 226-6200 |
Thomas Harris Kitzinger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Enterprise Dr Fl 2, Limerick, PA 19468 Phone: 800-321-9999 |
Derek Grabert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Enterprise Dr Fl 2, Limerick, PA 19468 Phone: 800-321-9999 |
Gina Montefusco Beldner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 43 W Ridge Pike, Limerick, PA 19468 Phone: 610-226-6200 Fax: 610-226-6201 |
Anthony Morse, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33 W Ridge Pike, Limerick, PA 19468 Phone: 610-226-6213 |
Emma Katherine Epsaro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33 W Ridge Pike, Limerick, PA 19468 Phone: 610-226-6200 |
Joanna My Wrigley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 43 W Ridge Pike, Limerick, PA 19468 Phone: 610-226-6200 Fax: 610-226-6201 |
Amanda L Glenn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 43 W Ridge Pike, Limerick, PA 19468 Phone: 610-226-6200 Fax: 610-226-6201 |