Katie M Marcuccio, CRNA | |
326 Washington St, Dept Of Anesthesia, Norwich, CT 06360-2740 | |
(860) 889-8331 | |
Not Available |
Full Name | Katie M Marcuccio |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 326 Washington St, Norwich, Connecticut |
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 |
---|---|---|---|
1790030567 | NPI | - | NPPES |
110130192A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN263394 (Massachusetts) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 04997 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Vincent Hospital | Worcester, MA | Hospital |
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence Anesthesia Services Llc | 4082770136 | 122 |
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Lawrence Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467699918 PECOS PAC ID: 4082770136 Enrollment ID: O20090225000707 |
Mailing Address | Practice Location Address |
---|---|
Katie M Marcuccio, CRNA 68 S Service Rd, Suite 350, Melville, NY 11747-2354 Ph: (516) 945-3034 | Katie M Marcuccio, CRNA 326 Washington St, Dept Of Anesthesia, Norwich, CT 06360-2740 Ph: (860) 889-8331 |
Abigail Conner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 203-929-7353 Fax: 203-929-0756 | |
Brynne E Radel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-933-6903 | |
Sandra C Jeppesen, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Mary Ellen Comolli, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Ms. Lois Caldrello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Dept Of Anesthesia, Norwich, CT 06360 Phone: 860-889-8331 | |
Kalie Morrissette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Ms. Bertha M Doss, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Anesthesia Department, Norwich, CT 06360 Phone: 860-826-6395 Fax: 860-823-6563 |