Mark J Pellegrino, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in North Canton, Ohio. He went to Ohio State University College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Ohio Rehab Center Ii, Inc and his current practice location is
6651 Frank Ave Nw, North Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 498-9865.
Mark J Pellegrino is licensed to practice in Ohio (license number 35050212) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538170691.
Physician's Profile
| Full Name | Mark J Pellegrino |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 40 Years |
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| Location | 6651 Frank Ave Nw, North Canton, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark J Pellegrino attended and graduated from Ohio State University College Of Medicine in 1984
NPI Data:
- NPI Number: 1538170691
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 11/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 7416921184
- Enrollment ID: I20051214000429
Medical Identifiers
Medical identifiers for Mark J Pellegrino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538170691 | NPI | - | NPPES |
| 341750133 | Other | OH | SUMMACARE |
| 341898905030 | Other | OH | CARESOURCE |
| 250011247 | Other | OH | RAILROAD MEDICARE |
| 000000141768 | Other | OH | ANTHEM |
| 341898905B | Other | OH | AULTCARE |
| 0715739 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 35050212 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohio Rehab Center Ii, Inc | 7517931272 | 6 |
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. Mark J Pellegrino allows following entities to bill medicare on his behalf.
| Entity Name | Ohio Rehab Center Ii, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740234806
PECOS PAC ID: 7517931272
Enrollment ID: O20040819001539 |
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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. Mark J Pellegrino 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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Mark J Pellegrino, MD
Po Box 26125,
Akron, OH 44319-6125
Ph: (330) 493-0840 | Mark J Pellegrino, MD
6651 Frank Ave Nw,
North Canton, OH 44720
Ph: (330) 498-9865 |
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