| Josipa Kukucka, CRNA | |
|
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
| (770) 719-7000 | |
| Not Available |
| Full Name | Josipa Kukucka |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1255 Highway 54 W, Fayetteville, Georgia |
| 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 |
|---|---|---|---|
| 1972964476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.1617919 (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP129989 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Columbus Pa | 6901701135 | 26 |
| Entity Name | Anesthesia Associates Of Columbus Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740251248 PECOS PAC ID: 6901701135 Enrollment ID: O20031202000054 |
| Entity Name | Piedmont Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Sleep Ezzy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
| Mailing Address | Practice Location Address |
|---|---|
| Josipa Kukucka, CRNA 1101 Bates Ave, Houston, TX 77030-2607 Ph: (137) 981-3007 | Josipa Kukucka, CRNA 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 719-7000 |
Kaiheem D Patterson, BSN RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000 | |
David J Carlson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 195 Roxboro Ct, Fayetteville, GA 30215 Phone: 770-461-6244 | |
Terrica Wilson Harris, CRNA (STUDENT) Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000 | |
Mrs. Gail Diane Mcnair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 Riveria Ct, Fayetteville, GA 30215 Phone: 404-395-8940 | |
Mrs. Barbara F. Law, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1265 Hwy 54 W, Suite 401, Fayetteville, GA 30214 Phone: 800-951-7850 Fax: 843-491-4023 | |
Mrs. Alison Key, PAAA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 115 Edenton Estates Dr, Fayetteville, GA 30214 Phone: 770-487-1128 | |
Laura Jane Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 Lakemont Dr, Fayetteville, GA 30215 Phone: 770-363-1274 Fax: 770-716-1580 |