| Ms Kelly Rose Pucillo, CRNA | |
|
160 E Erie Ave, Philadelphia, PA 19134-1011 | |
| (215) 427-5000 | |
| Not Available |
| Full Name | Ms Kelly Rose Pucillo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 160 E Erie Ave, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1194362939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 128588 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stc Pediatrics Llc | 7315372323 | 60 |
| Entity Name | Associates In Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942281191 PECOS PAC ID: 9335052034 Enrollment ID: O20031124000710 |
| Entity Name | Rgal Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246 |
| Entity Name | Stc Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Rose Pucillo, CRNA 781 Argyle Rd, Glenside, PA 19038-1509 Ph: (610) 547-1477 | Ms Kelly Rose Pucillo, CRNA 160 E Erie Ave, Philadelphia, PA 19134-1011 Ph: (215) 427-5000 |
Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900 | |
Rosabelle Mccullough, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Heather Moore, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-4000 | |
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000 | |
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 | |
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 |