Katie Ann Picucci, DO is a medicare enrolled "Family Medicine" physician in Kingsford, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Bellin Memorial Hospital Inc and her current practice location is
800 East Blvd, Kingsford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 774-4000.
Katie Ann Picucci is licensed to practice in Michigan (license number 5101017482) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649462391.
Physician's Profile
Full Name | Katie Ann Picucci |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 17 Years |
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Location | 800 East Blvd, Kingsford, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katie Ann Picucci attended and graduated from Michigan State University College Of Osteopathic Medicine in 2007
NPI Data:
- NPI Number: 1649462391
- Provider Enumeration Date: 08/16/2007
- Last Update Date: 10/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 8921131202
- Enrollment ID: I20100806000669
Medical Identifiers
Medical identifiers for Katie Ann Picucci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649462391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5101017482 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bellin Memorial Hospital Inc | 8820900749 | 533 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Ann Picucci allows following entities to bill medicare on her behalf.
Entity Name | Bellin Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376649509 PECOS PAC ID: 8820900749 Enrollment ID: O20061218000510 |
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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. Katie Ann Picucci is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katie Ann Picucci, DO Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7226 | Katie Ann Picucci, DO 800 East Blvd, Kingsford, MI 49802-4436 Ph: (906) 774-4000 |
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