Rachel Marie Lucullo, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Petrolia, Pennsylvania. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Primary Health Network and her current practice location is
296 Church St, Petrolia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 756-2940.
Rachel Marie Lucullo is licensed to practice in Pennsylvania (license number SP025321) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194465567.
Provider's Profile
| Full Name | Rachel Marie Lucullo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 296 Church St, Petrolia, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rachel Marie Lucullo graduated from nursing school in 2021
NPI Data:
- NPI Number: 1194465567
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446637219
- Enrollment ID: I20220517000648
Medical Identifiers
Medical identifiers for Rachel Marie Lucullo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194465567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP025321 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Primary Health Network | 9234046228 | 55 |
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. Rachel Marie Lucullo allows following entities to bill medicare on her behalf.
| Entity Name | Primary Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417932609
PECOS PAC ID: 9234046228
Enrollment ID: O20031124000553 |
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| Entity Name | Personal Care Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922427962
PECOS PAC ID: 1456344084
Enrollment ID: O20040407001274 |
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| Entity Name | Numedx |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790360303
PECOS PAC ID: 1355747395
Enrollment ID: O20211101003120 |
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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. Rachel Marie Lucullo 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 |
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Rachel Marie Lucullo, CRNP
100 Shenango Ave,
Sharon, PA 16146-1503
Ph: (724) 756-2940 | Rachel Marie Lucullo, CRNP
296 Church St,
Petrolia, PA 16050-3006
Ph: (724) 756-2940 |
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