Dr Marc D Pellicciaro, MD - Psychiatry & Neurology in Bellevue, WA

Dr Marc D Pellicciaro, MD is a Psychiatry & Neurology - Addiction Medicine physician based in Bellevue, Washington. Dr Marc D Pellicciaro is licensed to practice in Washington (license number MD 00036813) and his current practice location is 12729 Northup Way Ste 6, Bellevue, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 467-1000.

NPI number for Dr Marc D Pellicciaro is 1962575951 and his current mailing address is 12729 Northup Way Ste 6, Bellevue, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962575951.

Contact Information

Dr Marc D Pellicciaro, MD
12729 Northup Way Ste 6,
Bellevue, WA 98005-1935
(425) 467-1000
(425) 467-0100

Map and Direction




Physician's Profile

Full NameDr Marc D Pellicciaro
GenderMale
SpecialityPsychiatry & Neurology - Addiction Medicine
Location12729 Northup Way Ste 6, Bellevue, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962575951
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 04/17/2019

Medical Identifiers

Medical identifiers for Dr Marc D Pellicciaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962575951NPI-NPPES
MD2652MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine MD 00036813 (Washington)Primary

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. Dr Marc D Pellicciaro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marc D Pellicciaro, MD
12729 Northup Way Ste 6,
Bellevue, WA 98005-1935

Ph: (425) 467-1000
Dr Marc D Pellicciaro, MD
12729 Northup Way Ste 6,
Bellevue, WA 98005-1935

Ph: (425) 467-1000

Reviews and Comments


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