Kelly Pucillo, MD in Waupaca, WI

Kelly Pucillo, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. Her current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 258-1160.

Kelly Pucillo is licensed to practice in Wisconsin (license number 49596-020) 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 1548200595.

Contact Information

	Kelly Pucillo, MD
	710 Riverside Dr, Waupaca, WI 54981-1941
	(715) 258-1160
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Pucillo
Gender	Female
Speciality
Experience	Years
Location	710 Riverside Dr, Waupaca, Wisconsin
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:

Kelly Pucillo attended and graduated from in

NPI Data:

NPI Number: 1548200595
Provider Enumeration Date: 06/07/2006
Last Update Date: 03/15/2012

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Kelly Pucillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548200595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	49596-020 (Wisconsin)	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. Kelly Pucillo 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
Kelly Pucillo, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (608) 829-5247	Kelly Pucillo, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 258-1160

Reviews and Comments

Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD Family Medicine Medicare: Medicare Enrolled Practice Location: N2437 E Miner Dr, Waupaca, WI 54981 Phone: 608-475-0328 Fax: 715-256-5452
Ashley Tardieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079
Sarah C Durst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 915-756-3079
Dorrie Marie Happ, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 Fax: 715-256-3079
Molly Ann Szymanski, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Amy Nicole Mandeville, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Patty Kile, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160

Kelly Pucillo, MD - Medicare in Waupaca, WI