Dr Kelly Eleanor Moulton Gullotta, MD in Rochester, NY

Dr Kelly Eleanor Moulton Gullotta, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Rochester, New York. Her current practice location is 601 Elmwood Ave, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 273-3919.

Dr Kelly Eleanor Moulton Gullotta is licensed to practice in Connecticut (license number 55918) 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 1053584086.

Contact Information

	Dr Kelly Eleanor Moulton Gullotta, MD
	601 Elmwood Ave, Rochester, NY 14642-0001
	(585) 273-3919
	(585) 461-3614

Map and Direction

Physician's Profile

Full Name	Dr Kelly Eleanor Moulton Gullotta
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	601 Elmwood Ave, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053584086
Provider Enumeration Date: 04/10/2008
Last Update Date: 01/16/2017

Medicare PECOS Information:

PECOS PAC ID: 5799960886
Enrollment ID: I20200603002475

Medical Identifiers

Medical identifiers for Dr Kelly Eleanor Moulton Gullotta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053584086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	55918 (Connecticut)	Primary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	246762 (New York)	Secondary

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. Dr Kelly Eleanor Moulton Gullotta allows following entities to bill medicare on her behalf.

Entity Name	St. Vincent's Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Dr Kelly Eleanor Moulton Gullotta 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
Dr Kelly Eleanor Moulton Gullotta, MD 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 Ph: (585) 273-3919	Dr Kelly Eleanor Moulton Gullotta, MD 601 Elmwood Ave, Rochester, NY 14642-0001 Ph: (585) 273-3919

Reviews and Comments

Pediatrics Doctors in Rochester, NY

Dr. Rita Dadiz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 635, Rochester, NY 14642 Phone: 585-275-7787
Dr. Michael G. Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 White Spruce Blvd, Rochester, NY 14623 Phone: 585-272-9460
Tracy L Maier, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Island Cottage Rd, Rochester, NY 14612 Phone: 585-225-2610 Fax: 585-581-1396
Dr. Jessica Morrison, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-2575
Aleena Zainab Jafri, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-756-4800
Matthew M Carlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 S Clinton Avenue, Bldg 300 Ste 310, Rochester, NY 14618 Phone: 585-473-3535 Fax: 585-473-1837
Dr. Roger P Vermilion, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 631, Rochester, NY 14642 Phone: 585-275-6108 Fax: 585-442-0104

Dr Kelly Eleanor Moulton Gullotta, MD - Medicare Pediatrics in Rochester, NY