| 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 | 11 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 |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 555 |
| Anesthesia Services Of North Georgia Llc | 5395140925 | 4 |
| Sleep Ezzy | 4486920295 | 23 |
| Grady Memorial Hospital Corporation | 7517032998 | 365 |
| 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 | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| 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 |
| Entity Name | Piedmont Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Entity Name | Anesthesia Services of North Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386216604 PECOS PAC ID: 5395140925 Enrollment ID: O20210820000002 |
| 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: Accepting 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 |