Mr Jean Davi Pellegalle, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Longview, TX

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Mr Jean Davi Pellegalle, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Longview, Texas. His current practice location is 1300 N 6th St, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 759-2922.

Mr Jean Davi Pellegalle is licensed to practice in Texas (license number AP144507) 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 1013528884.

Contact Information

Mr Jean Davi Pellegalle, MSN, APRN, FNP-C
1300 N 6th St,
Longview, TX 75601-5567
(903) 759-2922
Not Available

Map and Direction




Provider's Profile

Full NameMr Jean Davi Pellegalle
GenderMale
SpecialityNurse Practitioner - Family
Location1300 N 6th St, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013528884
  • Provider Enumeration Date: 08/13/2020
  • Last Update Date: 08/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204255938
  • Enrollment ID: I20200930001377

Medical Identifiers

Medical identifiers for Mr Jean Davi Pellegalle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013528884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP144507 (Texas)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. Mr Jean Davi Pellegalle allows following entities to bill medicare on his behalf.
Entity NameSabine Valley Regional Mhmr Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639232002
PECOS PAC ID: 0143202580
Enrollment ID: O20040601001132
Entity NameTotal Point - Desoto Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104590330
PECOS PAC ID: 0749679702
Enrollment ID: O20211112000123
Entity NameCore Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407553886
PECOS PAC ID: 9234599424
Enrollment ID: O20230719003780
Entity NameCore Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144902602
PECOS PAC ID: 9234599424
Enrollment ID: O20230906000653
Entity NameCore Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033891148
PECOS PAC ID: 9234599424
Enrollment ID: O20230906001125
Entity NameCore Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396427852
PECOS PAC ID: 9234599424
Enrollment ID: O20230906003390
Entity NameCore Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275215303
PECOS PAC ID: 9234599424
Enrollment ID: O20230907001913

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. Mr Jean Davi Pellegalle 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
Mr Jean Davi Pellegalle, MSN, APRN, FNP-C
7228 County Road 3152,
Tyler, TX 75708-6704

Ph: (903) 539-5745		Mr Jean Davi Pellegalle, MSN, APRN, FNP-C
1300 N 6th St,
Longview, TX 75601-5567

Ph: (903) 759-2922

Reviews and Comments


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Phone: 903-315-1488    Fax: 903-315-1656
Christy Anne Cobb, FNP-C
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Practice Location: 707 Hollybrook Dr, Longview, TX 75605
Phone: 903-291-6223    Fax: 903-291-6222

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.