Dr Kaitlin Pellicano, MD in Elkhorn, WI - Medicare Family Practice

Dr Kaitlin Pellicano, MD is a medicare enrolled "Emergency Medicine - Hospice And Palliative Medicine" physician in Elkhorn, Wisconsin. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and her current practice location is W3985 County Road Nn, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 741-2121.

Dr Kaitlin Pellicano is licensed to practice in New Jersey (license number 25MA12412700) 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 1700414091.

Contact Information

	Dr Kaitlin Pellicano, MD
	W3985 County Road Nn, Elkhorn, WI 53121-4337
	(262) 741-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kaitlin Pellicano
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	W3985 County Road Nn, Elkhorn, Wisconsin
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:

Dr Kaitlin Pellicano graduated from medical school in 2018

NPI Data:

NPI Number: 1700414091
Provider Enumeration Date: 03/31/2020
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1658754460
Enrollment ID: I20250219000242

Medical Identifiers

Medical identifiers for Dr Kaitlin Pellicano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700414091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	76460-20 (Wisconsin)	Secondary
207PH0002X	Emergency Medicine - Hospice And Palliative Medicine	25MA12412700 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jersey Shore University Medical Center	Neptune, NJ	Hospital
Ocean Medical Center	Brick, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hackensack Meridian Health Medical Group - Specialty Care Pc	9133032519	1587

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 Kaitlin Pellicano allows following entities to bill medicare on her behalf.

Entity Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

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 Kaitlin Pellicano 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 Kaitlin Pellicano, MD 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792 Ph: (732) 807-0877	Dr Kaitlin Pellicano, MD W3985 County Road Nn, Elkhorn, WI 53121-4337 Ph: (262) 741-2121

Reviews and Comments

Emergency Medicine Doctors in Elkhorn, WI

Dilip P Patel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000
Dr. Kamal S Muzaffar, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 S Washington St, Elkhorn, WI 53121 Phone: 262-743-1122 Fax: 262-743-1582
Dr. Abdulmoniem H Abdulmoniem, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000
Dr. Valerian Mark Peterson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000
Julia Christine Johnson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2120
Saada Ahmed Zegar, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000
Matthew Degroot, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000

Dr Kaitlin Pellicano, MD - Medicare Family Practice in Elkhorn, WI