Nicholas Pucillo, DPT in Louisville, KY - Medicare Physical Therapy Provider

Nicholas Pucillo, DPT is a medicare enrolled "Physical Therapist" provider in Louisville, Kentucky. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Agilitas Usa Inc, Agilitas Usa Inc and his current practice location is 4611 Outer Loop, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 625-6233.

Nicholas Pucillo is licensed to practice in Kentucky (license number 006671) 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 1043696404.

Contact Information

	Nicholas Pucillo, DPT
	4611 Outer Loop, Louisville, KY 40219-3970
	(502) 625-6233
	(502) 625-6234

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Pucillo
Gender	Male
Speciality	Physical Therapy
Experience	9 Years
Location	4611 Outer Loop, Louisville, Kentucky
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:

Nicholas Pucillo graduated from medical school in 2015

NPI Data:

NPI Number: 1043696404
Provider Enumeration Date: 08/07/2015
Last Update Date: 09/20/2019

Medicare PECOS Information:

PECOS PAC ID: 4880901917
Enrollment ID: I20150922000947

Medical Identifiers

Medical identifiers for Nicholas Pucillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043696404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006671 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agilitas Usa Inc	3375454648	681
Agilitas Usa Inc	3375454648	681

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. Nicholas Pucillo allows following entities to bill medicare on his behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130723000589

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. Nicholas 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
Nicholas Pucillo, DPT 800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285 Ph: (616) 373-1350	Nicholas Pucillo, DPT 4611 Outer Loop, Louisville, KY 40219-3970 Ph: (502) 625-6233

Reviews and Comments

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Nicholas Pucillo, DPT - Medicare Physical Therapist in Louisville, KY