| Kelly Bucalo, APRN | |
|
911 N Buffalo Dr Unit 213, Las Vegas, NV 89128-0381 | |
| (702) 405-8088 | |
| Not Available |
| Full Name | Kelly Bucalo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 911 N Buffalo Dr Unit 213, Las Vegas, Nevada |
| 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 |
|---|---|---|---|
| 1992367080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 820127 (Nevada) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 820127 (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Health Solutions Llc | 4385998954 | 48 |
| Vitality Unlimited | 4688095078 | 4 |
| Entity Name | Visiting Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063821783 PECOS PAC ID: 8527286442 Enrollment ID: O20140905000976 |
| Entity Name | Behavioral Health Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548765258 PECOS PAC ID: 4385998954 Enrollment ID: O20181116002509 |
| Entity Name | Vitality Unlimited |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629540380 PECOS PAC ID: 4688095078 Enrollment ID: O20201014003105 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Bucalo, APRN 911 N Buffalo Dr Unit 213, Las Vegas, NV 89128-0381 Ph: (702) 405-8088 | Kelly Bucalo, APRN 911 N Buffalo Dr Unit 213, Las Vegas, NV 89128-0381 Ph: (702) 405-8088 |
Dena Kae Meeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128 Phone: 702-878-0393 Fax: 702-940-5601 | |
Vanesa Francis Cheng, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9550 S Eastern Ave Ste 253, Las Vegas, NV 89123 Phone: 888-803-3370 Fax: 661-634-1040 | |
Ms. Lotis Gay Perilla Edano, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169 Phone: 702-732-2438 Fax: 702-733-7876 | |
Jann Stacey Pickens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4506 Fax: 702-388-4810 | |
Tamaris Samantha Cotta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-1268 Fax: 702-366-7079 | |
Tasha Wasserman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333 | |
Aric Pedro Adaoag, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183 Phone: 702-202-6336 Fax: 702-202-6318 |