Dr Kaitlin Pellicano, MD - Medicare Emergency Medicine in Elkhorn, WI

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Dr Kaitlin Pellicano, MD is a medicare enrolled "Emergency Medicine - Hospice And Palliative Medicine" physician in Elkhorn, Wisconsin. 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 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 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 NameDr Kaitlin Pellicano
GenderFemale
SpecialityEmergency Medicine - Hospice And Palliative Medicine
LocationW3985 County Road Nn, Elkhorn, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1700414091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 76460-20 (Wisconsin)Secondary
207PH0002XEmergency Medicine - Hospice And Palliative Medicine 25MA12412700 (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. Dr Kaitlin Pellicano allows following entities to bill medicare on her behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.