Melissa Elaine Lucarelli, MD | |
504 S High Street, Randolph, WI 53956 | |
(920) 326-5060 | |
(920) 326-5061 |
Full Name | Melissa Elaine Lucarelli |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 504 S High Street, Randolph, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336102169 | NPI | - | NPPES |
080174465 | Other | RAILROAD MEDICARE | |
11573 | Other | WI | DEAN HEALTH PLAN |
32327000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36988020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hillside Home Care | Beaver dam, WI | Home health agency |
Ssm Health At Home Home Health-wisconsin | Madison, WI | Home health agency |
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
Columbus Community Hospital | Columbus, WI | Hospital |
Waupun Memorial Hospital | Waupun, WI | Hospital |
University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
Randolph Health Services | Randolph, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Randolph Community Clinic Sc | 1456247311 | 3 |
Entity Name | Randolph Community Clinic Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497832257 PECOS PAC ID: 1456247311 Enrollment ID: O20101021000632 |
Mailing Address | Practice Location Address |
---|---|
Melissa Elaine Lucarelli, MD 504 S High St, Po Box 101, Randolph, WI 53956-1499 Ph: (920) 326-5060 | Melissa Elaine Lucarelli, MD 504 S High Street, Randolph, WI 53956 Ph: (920) 326-5060 |