Joseph John Kukucka, FNP | |
18 Ash Ct, Irmo, SC 29063 | |
(803) 749-9531 | |
Not Available |
Full Name | Joseph John Kukucka |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 18 Ash Ct, Irmo, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801474408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 24211 (South Carolina) | Primary |
Entity Name | Musc Community Physicians |
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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 |
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Joseph John Kukucka, FNP 18 Ash Ct, Irmo, SC 29063-9584 Ph: (803) 749-9531 | Joseph John Kukucka, FNP 18 Ash Ct, Irmo, SC 29063 Ph: (803) 749-9531 |
Ashley Nichole Baxley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Alicia Pendergrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 203, Irmo, SC 29063 Phone: 803-749-9920 Fax: 803-749-9916 | |
Mrs. Julia P Hoeft, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Dutch Fork Rd, Irmo, SC 29063 Phone: 866-389-2727 | |
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123 | |
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840 |