| Mark G Colucci, PA-C | |
|
17 Sidewinder Rd, East Falmouth, MA 02536-4756 | |
| (508) 685-9038 | |
| Not Available |
| Full Name | Mark G Colucci |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 17 Sidewinder Rd, East Falmouth, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619906971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1101 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Martha's Vineyard Hospital Inc | Oak bluffs, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martha's Vineyard Hospital Inc | 9931166113 | 150 |
| Entity Name | Martha's Vineyard Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194866210 PECOS PAC ID: 9931166113 Enrollment ID: O20041220000589 |
| Entity Name | Martha's Vineyard Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134206386 PECOS PAC ID: 9931166113 Enrollment ID: O20210819001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Colucci, PA-C 17 Sidewinder Rd, East Falmouth, MA 02536-4756 Ph: (508) 685-9038 | Mark G Colucci, PA-C 17 Sidewinder Rd, East Falmouth, MA 02536-4756 Ph: (508) 685-9038 |
Mr. David Savage, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 74 Round Pond Dr, East Falmouth, MA 02536 Phone: 508-540-9381 |
Giuliana Rose Cucciniello, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18 Shorecrest Dr, East Falmouth, MA 02536 Phone: 908-967-1104 |