Laurel Ann Pittillo, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in San Angelo, Texas. Her current practice location is
34 Buick St, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 658-5339.
Laurel Ann Pittillo is licensed to practice in Texas (license number 1153993) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275399297.
Healthcare Provider's Profile
| Full Name | Laurel Ann Pittillo |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 34 Buick St, San Angelo, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275399297
- Provider Enumeration Date: 02/27/2024
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113367962
- Enrollment ID: I20240426003468
Medical Identifiers
Medical identifiers for Laurel Ann Pittillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275399297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 1153993 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1153993 (Texas) | Primary |
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. Laurel Ann Pittillo allows following entities to bill medicare on her behalf.
| Entity Name | La Esperanza Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770584187
PECOS PAC ID: 7416942933
Enrollment ID: O20040415000585 |
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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. Laurel Ann Pittillo 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 |
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Laurel Ann Pittillo, PMHNP-BC
34 Buick St,
San Angelo, TX 76901-4730
Ph: (325) 658-5339 | Laurel Ann Pittillo, PMHNP-BC
34 Buick St,
San Angelo, TX 76901-4730
Ph: (325) 658-5339 |
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