Theresa M Carlucci, CRNP in Erie, PA - Medicare Nurse Practitioner

Theresa M Carlucci, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Erie, Pennsylvania. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regional Health Services Inc and her current practice location is 300 State St Ste 103a, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 877-8540.

Theresa M Carlucci is licensed to practice in Pennsylvania (license number SP014151) 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 1174922058.

Contact Information

	Theresa M Carlucci, CRNP
	300 State St Ste 103a, Erie, PA 16507-1471
	(814) 877-8540
	(814) 877-8541

Map and Direction

Provider's Profile

Full Name	Theresa M Carlucci
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	300 State St Ste 103a, Erie, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theresa M Carlucci graduated from nursing school in 2014

NPI Data:

NPI Number: 1174922058
Provider Enumeration Date: 08/18/2014
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4284956483
Enrollment ID: I20141125000296

Medical Identifiers

Medical identifiers for Theresa M Carlucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174922058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP014151 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Upmc Hamot Hospital	Erie, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regional Health Services Inc	4880593722	480

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. Theresa M Carlucci allows following entities to bill medicare on her behalf.

Entity Name	Regional Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694

Entity Name	Conneaut Valley Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558380469 PECOS PAC ID: 1456319706 Enrollment ID: O20050103000751

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. Theresa M Carlucci 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
Theresa M Carlucci, CRNP 300 State St Ste 103a, Erie, PA 16507-1471 Ph: (814) 877-8540	Theresa M Carlucci, CRNP 300 State St Ste 103a, Erie, PA 16507-1471 Ph: (814) 877-8540

Reviews and Comments

Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074
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Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850

Theresa M Carlucci, CRNP - Medicare Nurse Practitioner in Erie, PA