Mrs Louise Ann Mongelluzzo, PA-C - Physician Assistant in Baldwinsville, NY

Mrs Louise Ann Mongelluzzo, PA-C is a Physician Assistant - Medical based in Baldwinsville, New York. Mrs Louise Ann Mongelluzzo is licensed to practice in New York (license number 008973-1) and her current practice location is 52 Artillery Ln, Baldwinsville, New York. She can be reached at her office (for appointments etc.) via phone at (315) 652-3518.

NPI number for Mrs Louise Ann Mongelluzzo is 1871774182 and her current mailing address is 52 Artillery Ln, Baldwinsville, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871774182.

Contact Information

Mrs Louise Ann Mongelluzzo, PA-C
52 Artillery Ln,
Baldwinsville, NY 13027-1146
(315) 652-3518
Not Available

Map and Direction




Provider's Profile

Full NameMrs Louise Ann Mongelluzzo
GenderFemale
SpecialityPhysician Assistant - Medical
Location52 Artillery Ln, Baldwinsville, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871774182
  • Provider Enumeration Date: 11/15/2007
  • Last Update Date: 11/15/2007

Medical Identifiers

Medical identifiers for Mrs Louise Ann Mongelluzzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871774182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 008973-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Louise Ann Mongelluzzo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Louise Ann Mongelluzzo, PA-C
52 Artillery Ln,
Baldwinsville, NY 13027-1146

Ph: (315) 652-3518
Mrs Louise Ann Mongelluzzo, PA-C
52 Artillery Ln,
Baldwinsville, NY 13027-1146

Ph: (315) 652-3518

Reviews and Comments


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