Ms Nicole E Bellisario, DNP, PMHNP-BC, CNL in San Diego, CA

Ms Nicole E Bellisario, DNP, PMHNP-BC, CNL is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. Her current practice location is 402 W Broadway Ste 400, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (888) 777-9409.

Ms Nicole E Bellisario is licensed to practice in California (license number 95022579) 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 1982172003.

Contact Information

	Ms Nicole E Bellisario, DNP, PMHNP-BC, CNL
	402 W Broadway Ste 400, San Diego, CA 92101-3554
	(888) 777-9409
	(888) 999-6614

Map and Direction

Provider's Profile

Full Name	Ms Nicole E Bellisario
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	402 W Broadway Ste 400, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982172003
Provider Enumeration Date: 11/06/2018
Last Update Date: 09/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1557730512
Enrollment ID: I20221213003272

Medical Identifiers

Medical identifiers for Ms Nicole E Bellisario such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982172003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022579 (California)	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. Ms Nicole E Bellisario allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

Entity Name	Mark Twain Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306311329 PECOS PAC ID: 7810327657 Enrollment ID: O20200818003005

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Ms Nicole E Bellisario 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
Ms Nicole E Bellisario, DNP, PMHNP-BC, CNL 402 W Broadway Ste 400, San Diego, CA 92101-3554 Ph: (888) 777-9409	Ms Nicole E Bellisario, DNP, PMHNP-BC, CNL 402 W Broadway Ste 400, San Diego, CA 92101-3554 Ph: (888) 777-9409

Reviews and Comments

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Ms Nicole E Bellisario, DNP, PMHNP-BC, CNL - Medicare Nurse Practitioner in San Diego, CA