Dr Nicole Colleen Pelham, MD in Rockville, MD

Dr Nicole Colleen Pelham, MD is a medicare enrolled "Family Medicine" physician in Rockville, Maryland. Her current practice location is 2101 E Jefferson St, Suite 6w Ppqa, Rockville, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 816-5853.

Dr Nicole Colleen Pelham is licensed to practice in Maryland (license number D0053482) 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 1821104969.

Contact Information

	Dr Nicole Colleen Pelham, MD
	2101 E Jefferson St, Suite 6w Ppqa, Rockville, MD 20852-4908
	(301) 816-5853
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicole Colleen Pelham
Gender	Female
Speciality	Family Medicine
Location	2101 E Jefferson St, Rockville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821104969
Provider Enumeration Date: 08/22/2006
Last Update Date: 12/01/2016

Medicare PECOS Information:

PECOS PAC ID: 6608881230
Enrollment ID: I20100414000679

Medical Identifiers

Medical identifiers for Dr Nicole Colleen Pelham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821104969	NPI	-	NPPES
160261702	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0053482 (Maryland)	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. Dr Nicole Colleen Pelham allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

Entity Name	Inova Physician Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846

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 Nicole Colleen Pelham 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 Nicole Colleen Pelham, MD 9172 Finnegan St, Lorton, VA 22079-2941 Ph: (703) 855-5397	Dr Nicole Colleen Pelham, MD 2101 E Jefferson St, Suite 6w Ppqa, Rockville, MD 20852-4908 Ph: (301) 816-5853

Reviews and Comments

Family Medicine Doctors in Rockville, MD

Fudia Kallay, Family Medicine Medicare: Medicare Enrolled Practice Location: 9909 Medical Center Dr, Rockville, MD 20850 Phone: 240-684-6150
Dr. Jack Richard Epstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Congressional Ln, Suite 318, Rockville, MD 20852 Phone: 301-984-8689 Fax: 301-984-4843
Dr. Hua-chuan Sim, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10960 Bloomingdale Dr, Rockville, MD 20852 Phone: 301-801-5400
Dr. Joseph Gebeily, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15215 Shady Grove Road, Suite 203, Rockville, MD 20850 Phone: 301-500-0374 Fax: 301-560-5665
Jin Moon Kang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15225 Shady Grove Rd, Suite 102, Rockville, MD 20850 Phone: 301-330-0661 Fax: 301-977-6940
Sayed Elsayyad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10110 Molecular Dr Ste 114, Rockville, MD 20850 Phone: 301-780-4745 Fax: 301-605-7550
Dr. Praveen Kumar Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 West Edmonston Drive, #202, Rockville, MD 20852 Phone: 301-762-0788 Fax: 301-762-3130

Dr Nicole Colleen Pelham, MD - Medicare Family Medicine in Rockville, MD