Tanya Pellettiere, PHD in Syracuse, NY - Medicare Psychologist Provider

Tanya Pellettiere, PHD is a medicare enrolled "Psychologist - Clinical" provider in Syracuse, New York. Her current practice location is 4317 E Genesee St Ste 205, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 430-8040.

Tanya Pellettiere is licensed to practice in New York (license number 015070-1) 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 1336223387.

Contact Information

	Tanya Pellettiere, PHD
	4317 E Genesee St Ste 205, Syracuse, NY 13214-2200
	(315) 430-8040
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tanya Pellettiere
Gender	Female
Speciality	Psychologist - Clinical
Location	4317 E Genesee St Ste 205, Syracuse, 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: 1336223387
Provider Enumeration Date: 10/25/2006
Last Update Date: 01/07/2020

Medicare PECOS Information:

PECOS PAC ID: 5092103374
Enrollment ID: I20211020000689

Medical Identifiers

Medical identifiers for Tanya Pellettiere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336223387	NPI	-	NPPES
02332456	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	015070-1 (New York)	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. Tanya Pellettiere allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417

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. Tanya Pellettiere 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
Tanya Pellettiere, PHD 4317 E Genesee St Ste 205, Syracuse, NY 13214-2200 Ph: (315) 430-8040	Tanya Pellettiere, PHD 4317 E Genesee St Ste 205, Syracuse, NY 13214-2200 Ph: (315) 430-8040

Reviews and Comments

Psychologist in Syracuse, NY

Stephen Albert Maisto, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-6546
Roger Di Pietro, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455
Dr. Sipho Mbuqe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-3258
Paige C Ouimette, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4317 E Genesee St, Suite 202, Syracuse, NY 13214 Phone: 315-436-5825
Laura Lee Mcintyre, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4842 Fax: 315-464-7564
Dr. Mark Richard Minnick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Syracuse, NY 13204 Phone: 315-425-4400
Dr. Jennifer Duncan Olson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 650 S Terry Rd, Syracuse, NY 13219 Phone: 315-263-6391

Tanya Pellettiere, PHD - Medicare Psychologist in Syracuse, NY