Kelly Bucalo (NPI# 1992367080, PAC ID# 1658608138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992367080 |
| PAC ID by PECOS | 1658608138 |
| Professional Enrollment ID | I20190806003073 |
| Full Name | Kelly Bucalo |
| Organization Legal Name | VISITING MEDICAL CLINIC LLC |
| Address |
1180 N Town Ctr Dr Suite 100 Las Vegas NV 89144-6363 |
| Phone Number | 7027499979 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527286442 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 | 7027499979 | VISITING MEDICAL CLINIC LLC |
| Organization Legal Name | VISITING MEDICAL CLINIC LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaina Marie Gentilini | Nurse Practitioner | Visiting Medical Clinic LLC | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Amanda Lynn Aydin | Nurse Practitioner | Visiting Medical Clinic LLC | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Street Address |
1180 N TOWN CTR DR SUITE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89144-6363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Marie Swan | Psychologist, Clinical | Executive Mental Health, Inc | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Elaina Marie Gentilini | Nurse Practitioner | Visiting Medical Clinic LLC | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Amanda Lynn Aydin | Nurse Practitioner | Visiting Medical Clinic LLC | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Jared Matthew Grant | Psychologist, Clinical | Executive Mental Health, Inc | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George R Mcmickle | Ophthalmology | 653 N Town Ctr Dr, Suite 318, Las Vegas, NV 89144-0503 | |
| Andrew Hsuanyeh Hwang | Urology | 653 N Town Ctr Dr, Suite 407, Las Vegas, NV 89144-0505 | |
| Molouk F Rahnema | Endocrinology | 653 N Town Ctr Dr, Suite 504, Las Vegas, NV 89144-0514 | |
| Thomas T Chen | Internal Medicine | 653 N Town Ctr Dr, Suite 404, Las Vegas, NV 89144-0514 | |
| Sundeep Singh | Family Medicine | Bacchus Wakefield Kahan PC | 653 N Town Ctr Dr, Suite 106, Las Vegas, NV 89144-0515 |
| Jennifer A Leepard | Family Medicine | Bacchus Wakefield Kahan PC | 653 N Town Ctr Dr, Suite 106, Las Vegas, NV 89144-0515 |
| Cameron I Earl | Plastic and Reconstructive Surgery | 653 N Town Ctr Dr, Suite 108, Las Vegas, NV 89144-0515 | |
| Lawrence S Copeland | Internal Medicine | 653 N Town Ctr Dr, Suite 101, Las Vegas, NV 89144-0515 | |
| Julia Vivien D Navalta | Nurse Practitioner | Bacchus Wakefield Kahan PC | 653 N Town Ctr Dr, Suite 106, Las Vegas, NV 89144-0515 |
| Jodi S Politz | Podiatry | 653 N Town Ctr Dr, Suite 118, Las Vegas, NV 89144-0515 | |
| Find all physicians in zip 89144 | |||
| City | LAS VEGAS |
| Zip Code | 89144 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAS VEGAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Bucalo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.