Karen M Pellicore, FNP-BC is a
Nurse Practitioner - Family physician based in Lake View, New York. Karen M Pellicore is licensed to practice in New York (license number F335760-1) and her current practice location is 2816 Pleasant Ave, Lake View, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 646-5500.
NPI number for Karen M Pellicore is 1366498511 and her current mailing address is 2816 Pleasant Ave, Lake View, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366498511.
Physician's Profile
| Full Name | Karen M Pellicore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2816 Pleasant Ave, Lake View, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366498511
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 05/08/2015
Medical Identifiers
Medical identifiers for Karen M Pellicore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366498511 | NPI | - | NPPES |
| 1012039 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1010027182 (Vermont) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5005182 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F335760-1 (New York) | 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. Karen M Pellicore 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 Address | Practice Location Address |
|---|
Karen M Pellicore, FNP-BC
2816 Pleasant Ave,
Lake View, NY 14085-9624
Ph: (716) 646-5500 | Karen M Pellicore, FNP-BC
2816 Pleasant Ave,
Lake View, NY 14085-9624
Ph: (716) 646-5500 |
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