Individual ProviderJulia PetrucciPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Lothrop St, Pittsburgh, PA 15213(412) 647-2345PECOS EnrollmentBased on the most recent information from CMS, provider Julia Petrucci is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134941453Provider TypeIndividualFull NamePetrucci, JuliaGenderFemaleSole ProprietorNoEnumeration Date10/28/2024Last Updated10/28/2024Contact InformationPractice LocationPractice Address200 Lothrop St, Pittsburgh, PA 15213Phone(412) 647-2345FaxUnlisted FaxMailing LocationMailing Address5062 Impala Drive, Murrysville, PA 15668PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA066163Pennsylvania