| Katie M Marcuccio, CRNA | |
|
326 Washington St, Dept Of Anesthesia, Norwich, CT 06360-2740 | |
| (860) 889-8331 | |
| Not Available |
| Full Name | Katie M Marcuccio |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 326 Washington St, Norwich, Connecticut |
| 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 |
|---|---|---|---|
| 1790030567 | NPI | - | NPPES |
| 110130192A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN263394 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 04997 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
| St Vincent Hospital | Worcester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence Anesthesia Services Llc | 4082770136 | 112 |
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Lawrence Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467699918 PECOS PAC ID: 4082770136 Enrollment ID: O20090225000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie M Marcuccio, CRNA 68 S Service Rd, Suite 350, Melville, NY 11747-2354 Ph: (516) 945-3034 | Katie M Marcuccio, CRNA 326 Washington St, Dept Of Anesthesia, Norwich, CT 06360-2740 Ph: (860) 889-8331 |
Abigail Conner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 203-929-7353 Fax: 203-929-0756 | |
Brynne E Radel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-933-6903 | |
Sandra C Jeppesen, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Mary Ellen Comolli, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Ms. Lois Caldrello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Dept Of Anesthesia, Norwich, CT 06360 Phone: 860-889-8331 | |
Kalie Morrissette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Ms. Bertha M Doss, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Anesthesia Department, Norwich, CT 06360 Phone: 860-826-6395 Fax: 860-823-6563 |