Madelyn Pellicer, APRN - Medicare Nurse Practitioner in St Augustine, FL

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Madelyn Pellicer, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in St Augustine, Florida. Her current practice location is 201 Health Park Blvd Ste 105, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 824-1776.

Madelyn Pellicer is licensed to practice in Florida (license number 11021961) 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 1114642865.

Contact Information

Madelyn Pellicer, APRN
201 Health Park Blvd Ste 105,
St Augustine, FL 32086-5770
(904) 824-1776
(904) 825-1270

Map and Direction




Provider's Profile

Full NameMadelyn Pellicer
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location201 Health Park Blvd Ste 105, St Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114642865
  • Provider Enumeration Date: 10/05/2022
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507236411
  • Enrollment ID: I20230110000426

Medical Identifiers

Medical identifiers for Madelyn Pellicer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114642865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 11021961 (Florida)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. Madelyn Pellicer allows following entities to bill medicare on her behalf.
Entity NameSt Augustine Cardiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588768147
PECOS PAC ID: 2860556040
Enrollment ID: O20090203000360

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. Madelyn Pellicer 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
Madelyn Pellicer, APRN
201 Health Park Blvd Ste 105,
St Augustine, FL 32086-5770

Ph: (904) 824-1776		Madelyn Pellicer, APRN
201 Health Park Blvd Ste 105,
St Augustine, FL 32086-5770

Ph: (904) 824-1776

Reviews and Comments


Nurse Practitioner Nurses in St Augustine, FL

Mrs. Yvonne Payne, ARNP, FNP-BC
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Phone: 904-800-7246    Fax: 904-299-4116
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Phone: 352-620-4630    

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.