Emmanuel Andres Pelayo, is a medicare enrolled "Nurse Practitioner - Primary Care" in Union. City, New Jersey. His current practice location is
3196 John F. Kennedy Blvd, Union. City, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(833) 617-0501.
Emmanuel Andres Pelayo is licensed to practice in New Jersey (license number 26NJ01362600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770992836.
Provider's Profile
| Full Name | Emmanuel Andres Pelayo |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 3196 John F. Kennedy Blvd, Union. City, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770992836
- Provider Enumeration Date: 08/03/2014
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163807579
- Enrollment ID: I20220921003187
Medical Identifiers
Medical identifiers for Emmanuel Andres Pelayo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770992836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 26NJ01362600 (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. Emmanuel Andres Pelayo allows following entities to bill medicare on his behalf.
| Entity Name | Allhealthmedicalgroup Com Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497408991
PECOS PAC ID: 1456746692
Enrollment ID: O20220324001936 |
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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. Emmanuel Andres Pelayo 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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Emmanuel Andres Pelayo,
3196 John F. Kennedy Blvd,
Union City, NJ 07086
Ph: (833) 617-0501 | Emmanuel Andres Pelayo,
3196 John F. Kennedy Blvd,
Union. City, NJ 07086
Ph: (833) 617-0501 |
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