Keith D Micucci, CRNP in Allentown, PA - Medicare Nurse Practitioner

Keith D Micucci, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Allentown, Pennsylvania. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lehigh Valley Physician Group and his current practice location is 1200 S Cedar Crest Blvd, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 402-8111.

Keith D Micucci is licensed to practice in Pennsylvania (license number SP010643) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528382421.

Contact Information

	Keith D Micucci, CRNP
	1200 S Cedar Crest Blvd, Allentown, PA 18103-6202
	(610) 402-8111
	(610) 402-1698

Map and Direction

Provider's Profile

Full Name	Keith D Micucci
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	1200 S Cedar Crest Blvd, Allentown, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith D Micucci graduated from nursing school in 2009

NPI Data:

NPI Number: 1528382421
Provider Enumeration Date: 03/22/2010
Last Update Date: 12/18/2015

Medicare PECOS Information:

PECOS PAC ID: 5597775213
Enrollment ID: I20100419000449

Medical Identifiers

Medical identifiers for Keith D Micucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528382421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP010643 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lehigh Valley Hospital	Allentown, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lehigh Valley Physician Group	3072425123	1892

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith D Micucci allows following entities to bill medicare on his behalf.

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

Entity Name	Atlantic Physician Services Of Maryland, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730129594 PECOS PAC ID: 5193619765 Enrollment ID: O20040504000401

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith D Micucci is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith D Micucci, CRNP Po Box 783311, Philadelphia, PA 19178-3311 Ph: () -	Keith D Micucci, CRNP 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-8111

Reviews and Comments

Nurse Practitioner Nurses in Allentown, PA

Mrs. Lou-ann Marie Snyder, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 N 4th St, Allentown, PA 18102 Phone: 610-663-3463 Fax: 610-606-4448
Paige E Horner, CRNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 Buckingham Dr, Allentown, PA 18103 Phone: 484-264-7624
Andrew Berner, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-2273
Kathleen Strzepek, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 Pond Rd, Suite 401, Allentown, PA 18104 Phone: 610-398-7700 Fax: 610-398-6913
Donna Kuhn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 403, Allentown, PA 18103 Phone: 610-402-3650 Fax: 610-402-3673
Ms. Catherine D Stein, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 Marcon Blvd Ste 3, Allentown, PA 18109 Phone: 610-266-0134
Dr. Camille A O Hamilton, PHD MPH AGPCNP-BC RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N 17th St Ste 300, Allentown, PA 18104 Phone: 610-969-3500

Keith D Micucci, CRNP - Medicare Nurse Practitioner in Allentown, PA