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Patricia Ann Angelucci

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2600 S Heritage Woods Dr, Appleton, WI 54915-1408

PECOS Enrollment

This provider is enrolled in PECOS as PATRICIA ANGELUCCI.

Based on the most recent information from CMS, provider Patricia Ann Angelucci is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1134465636
Provider Type
Individual
Full Name
Angelucci, Patricia Ann
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/2/2013
Last Updated
12/19/2016

Contact Information

Practice Location

2600 S Heritage Woods Dr, Appleton, WI 54915-1408

(920) 225-7875

(920) 993-5003

Mailing Location

PO Box 8003, Appleton, WI 54912-8003

(920) 996-3200

(920) 738-5787

Provider Taxonomies

Code	Description	License
Code 363LG0600X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APNP #5127-33 Wisconsin