Dominique Pelote, APN in Marlton, NJ - Medicare Nurse Practitioner

Dominique Pelote, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marlton, New Jersey. Her current practice location is 286 Hawthorne St, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (917) 204-2763.

Dominique Pelote is licensed to practice in New Jersey (license number 26NJ14854900) 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 1154009678.

Contact Information

	Dominique Pelote, APN
	286 Hawthorne St, Marlton, NJ 08053-2013
	(917) 204-2763
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Pelote
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	286 Hawthorne St, Marlton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154009678
Provider Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8123562311
Enrollment ID: I20240628001255

Medical Identifiers

Medical identifiers for Dominique Pelote such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154009678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ14854900 (New Jersey)	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. Dominique Pelote allows following entities to bill medicare on her behalf.

Entity Name	Mind Your Mind
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053955096 PECOS PAC ID: 6002242690 Enrollment ID: O20200129002828

Entity Name	Moonshot Psychiatric Nurse Practitioner Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669158879 PECOS PAC ID: 9335589696 Enrollment ID: O20240612000054

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. Dominique Pelote 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
Dominique Pelote, APN 286 Hawthorne St, Marlton, NJ 08053-2013 Ph: (917) 204-2763	Dominique Pelote, APN 286 Hawthorne St, Marlton, NJ 08053-2013 Ph: (917) 204-2763

Reviews and Comments

Nurse Practitioner Nurses in Marlton, NJ

Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625
Valerie T Cotter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11009 Lincoln Dr W, Marlton, NJ 08053 Phone: 856-985-9851 Fax: 856-985-9955
Mrs. Nicole M Henderson-cole, MSN, APN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 70 E Bldg A, Marlton, NJ 08053 Phone: 856-797-4858 Fax: 856-797-4785

Dominique Pelote, APN - Medicare Nurse Practitioner in Marlton, NJ