M Nicole Belissary, MD - Medicare Family Practice in Modesto, CA

M Nicole Belissary, MD is a medicare enrolled "Family Medicine" physician in Modesto, California. She went to Medical College Of Wisconsin and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 3612 Dale Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 524-1211.

M Nicole Belissary is licensed to practice in California (license number A67536) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174572986.

Contact Information

M Nicole Belissary, MD
3612 Dale Rd,
Modesto, CA 95356-0500
(209) 524-1211
Not Available

Map and Direction




Physician's Profile

Full NameM Nicole Belissary
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location3612 Dale Rd, Modesto, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • M Nicole Belissary attended and graduated from Medical College Of Wisconsin in 1997
  NPI Data:
  • NPI Number: 1174572986
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 11/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0042371361
  • Enrollment ID: I20081204001009

Medical Identifiers

Medical identifiers for M Nicole Belissary such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174572986NPI-NPPES
00A675360MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A67536 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterModesto, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945151919

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. M Nicole Belissary allows following entities to bill medicare on her behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. M Nicole Belissary 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 AddressPractice Location Address
M Nicole Belissary, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211
M Nicole Belissary, MD
3612 Dale Rd,
Modesto, CA 95356-0500

Ph: (209) 524-1211

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.