Mark W Tuccillo, DO | |
103 Fram Street, Petersburg, AK 99833-0589 | |
(907) 772-4299 | |
Not Available |
Full Name | Mark W Tuccillo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 103 Fram Street, Petersburg, Alaska |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942237441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | AA2935 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mt Edgecumbe Hospital | Sitka, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Alaska Regional Health Consortium | 1456265362 | 263 |
The Petersburg Medical Center | 5395730626 | 4 |
Entity Name | Southeast Alaska Regional Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
Mailing Address | Practice Location Address |
---|---|
Mark W Tuccillo, DO Po Box 2120, Petersburg, AK 99833-2120 Ph: (907) 772-3975 | Mark W Tuccillo, DO 103 Fram Street, Petersburg, AK 99833-0589 Ph: (907) 772-4299 |
Cortney Nicole Hess, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 103 Fram St, Petersburg Medical Center, Petersburg, AK 99833 Phone: 907-772-4291 Fax: 907-772-3085 | |
Adriene Kim Fedde, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Fram Street, Petersburg, AK 99833 Phone: 505-819-8996 | |
Dr. Selina Andrea Burt, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 103 Fram Street, Petersburg, AK 99833 Phone: 907-772-4291 Fax: 907-772-3085 |