Nicole Marie Pellegrini, PA in Albany, NY - Medicare Physician Assistant

Nicole Marie Pellegrini, PA is a medicare enrolled "Physician Assistant" in Albany, New York. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Community Care Physicians Pllc and her current practice location is 100 Great Oaks Blvd, Suite 105, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 869-8007.

Nicole Marie Pellegrini is licensed to practice in New York (license number 011549) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205910825.

Contact Information

	Nicole Marie Pellegrini, PA
	100 Great Oaks Blvd, Suite 105, Albany, NY 12203-7924
	(518) 869-8007
	(518) 869-8742

Map and Direction

Provider's Profile

Full Name	Nicole Marie Pellegrini
Gender	Female
Speciality	Physician Assistant
Experience	18 Years
Location	100 Great Oaks Blvd, Albany, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Marie Pellegrini graduated from nursing school in 2006

NPI Data:

NPI Number: 1205910825
Provider Enumeration Date: 10/24/2006
Last Update Date: 01/26/2018

Medicare PECOS Information:

PECOS PAC ID: 0042316432
Enrollment ID: I20070501000508

Medical Identifiers

Medical identifiers for Nicole Marie Pellegrini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205910825	NPI	-	NPPES
396781	Other	NY	MVP
071219000066	Other	NY	FIDELIS
000414310001	Other	NY	BSNENY
10128386	Other	NY	CDPHP
02939155	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	011549 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Peter's Hospital	Albany, NY	Hospital
Samaritan Hospital	Troy, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Care Physicians Pllc	8022904473	365

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. Nicole Marie Pellegrini 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
Nicole Marie Pellegrini, PA 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700	Nicole Marie Pellegrini, PA 100 Great Oaks Blvd, Suite 105, Albany, NY 12203-7924 Ph: (518) 869-8007

Reviews and Comments

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Nicole Marie Pellegrini, PA - Medicare Physician Assistant in Albany, NY