Marianna Grace Bettina Pucillo, NP in Truckee, CA

Marianna Grace Bettina Pucillo, NP is a medicare enrolled "Nurse Practitioner" in Truckee, California. Her current practice location is 10121 Pine Ave, Truckee, California. You can reach out to her office (for appointments etc.) via phone at (530) 550-7206.

Marianna Grace Bettina Pucillo is licensed to practice in California (license number 95013728) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124658067.

Contact Information

	Marianna Grace Bettina Pucillo, NP
	10121 Pine Ave, Truckee, CA 96161-4835
	(530) 550-7206
	Not Available

Map and Direction

Provider's Profile

Full Name	Marianna Grace Bettina Pucillo
Gender	Female
Speciality	Nurse Practitioner
Location	10121 Pine Ave, Truckee, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124658067
Provider Enumeration Date: 01/20/2020
Last Update Date: 01/20/2020

Medicare PECOS Information:

PECOS PAC ID: 9537530126
Enrollment ID: I20230118001177

Medical Identifiers

Medical identifiers for Marianna Grace Bettina Pucillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124658067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95013728 (California)	Primary

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. Marianna Grace Bettina Pucillo allows following entities to bill medicare on her behalf.

Entity Name	Tahoe Forest Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397

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. Marianna Grace Bettina Pucillo 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
Marianna Grace Bettina Pucillo, NP Po Box 77, Tahoe City, CA 96145-0077 Ph: (781) 454-9342	Marianna Grace Bettina Pucillo, NP 10121 Pine Ave, Truckee, CA 96161-4835 Ph: (530) 550-7206

Reviews and Comments

Nurse Practitioner Nurses in Truckee, CA

Gabriela Giselle Villalba, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633
Vanessa Ivette Gutierrez, RN, PNP, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633
Mrs. Mackenzie Smith Dains, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-582-6452
Miss Beverly Mustain, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd, St 260, Truckee, CA 96161 Phone: 530-582-6400 Fax: 530-582-6991
Paige Parker Kirscht, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633
Mrs. Merit Wallace, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633

Marianna Grace Bettina Pucillo, NP - Medicare Nurse Practitioner in Truckee, CA