Gerri A Kukucka, NP | |
5224 Sunset Blvd, Lexington, SC 29072-9259 | |
(803) 796-4251 | |
(803) 796-4449 |
Full Name | Gerri A Kukucka |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 5224 Sunset Blvd, Lexington, South Carolina |
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 |
---|---|---|---|
1740888262 | NPI | - | NPPES |
NP8155 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 24208 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 24208 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kershawhealth | Camden, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctors Care, Pa | 6204731300 | 194 |
Musc Community Physicians | 6507260668 | 793 |
Entity Name | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
Entity Name | App Of South Carolina Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457878084 PECOS PAC ID: 3577821107 Enrollment ID: O20180103000650 |
Entity Name | Grace Physicians Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700484821 PECOS PAC ID: 8628481090 Enrollment ID: O20201231000736 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Gerri A Kukucka, NP Po Box 749306, Atlanta, GA 30374-9306 Ph: (803) 796-4251 | Gerri A Kukucka, NP 5224 Sunset Blvd, Lexington, SC 29072-9259 Ph: (803) 796-4251 |
Victoria Fenters, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1316 N Lake Dr, Lexington, SC 29072 Phone: 803-358-1191 | |
Dr. Brooke Patterson, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Old Cherokee Rd, Lexington, SC 29072 Phone: 803-359-5181 | |
Mrs. Carolyn Birchmore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 N Lake Dr, Lexington, SC 29072 Phone: 803-358-1191 Fax: 803-358-1180 | |
Amy Loper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 811 W Main St Ste 207, Lexington, SC 29072 Phone: 803-358-6420 | |
Donna Marie Bridger, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Two Notch Rd, Lexington, SC 29072 Phone: 803-951-5871 Fax: 803-951-5882 | |
Emilee Rikard Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 811 W Main St Ste 201&209, Lexington, SC 29072 Phone: 803-785-4777 Fax: 803-358-6240 | |
Lisa Lynn Livingston, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1633 S Lake Dr, Lexington, SC 29073 Phone: 803-520-9380 Fax: 803-520-5972 |