Nicholas Gerard Pellicoro, DPM in Nutley, NJ - Medicare Podiatrist Provider

Nicholas Gerard Pellicoro, DPM is a medicare enrolled "Podiatrist" provider in Nutley, New Jersey. His current practice location is 530 Franklin Avenue, Nutley, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 667-1066.

Nicholas Gerard Pellicoro is licensed to practice in New Jersey (license number 25MD00177800) 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 1508922410.

Contact Information

	Nicholas Gerard Pellicoro, DPM
	530 Franklin Avenue, Nutley, NJ 07110-1720
	(973) 667-1066
	(732) 752-8054

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Gerard Pellicoro
Gender	Male
Speciality	Podiatrist
Location	530 Franklin Avenue, Nutley, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508922410
Provider Enumeration Date: 12/28/2006
Last Update Date: 05/17/2017

Medicare PECOS Information:

PECOS PAC ID: 9739346685
Enrollment ID: I20120203000256

Medical Identifiers

Medical identifiers for Nicholas Gerard Pellicoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508922410	NPI	-	NPPES
166470101	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	25MD00177800 (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. Nicholas Gerard Pellicoro allows following entities to bill medicare on his behalf.

Provider Name	Care Free Living Nj Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710583323 PECOS PAC ID: 9739591587 Enrollment ID: O20201218001851

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. Nicholas Gerard Pellicoro 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
Nicholas Gerard Pellicoro, DPM 530 Franklin Ave, Nutley, NJ 07110-1720 Ph: (973) 667-1066	Nicholas Gerard Pellicoro, DPM 530 Franklin Avenue, Nutley, NJ 07110-1720 Ph: (973) 667-1066

Reviews and Comments

Podiatrist in Nutley, NJ

Dr. Joseph Anthony Cione, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 591 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-3412 Fax: 973-667-3524
Dr. Robert F Lardiere, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 230 Centre St, Ste 2, Nutley, NJ 07110 Phone: 973-667-5070 Fax: 973-667-5070
Dr. Robert W. Ciocco, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25 High St, Nutley, NJ 07110 Phone: 973-661-1290 Fax: 973-661-1291
Nutley Foot And Ankle Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 242 Washington Ave, Nutley, NJ 07110 Phone: 973-667-3412 Fax: 973-667-3524
Anthony Castronova, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 19 Charles St, Nutley, NJ 07110 Phone: 973-493-1194
Dr. Vincent Coppola, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 591 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-3412 Fax: 973-667-3524

Nicholas Gerard Pellicoro, DPM - Medicare Podiatrist in Nutley, NJ