Dr Krista Deann Pellicore, MD in Avondale, AZ

Dr Krista Deann Pellicore, MD is a medicare enrolled "Family Medicine" physician in Avondale, Arizona. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Denova Collaborative Health, Llc and her current practice location is 235 W Western Ave, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Dr Krista Deann Pellicore is licensed to practice in Arizona (license number 48328) 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 1235174731.

Contact Information

	Dr Krista Deann Pellicore, MD
	235 W Western Ave, Avondale, AZ 85323-1848
	(602) 230-7373
	(602) 230-3086

Map and Direction

Physician's Profile

Full Name	Dr Krista Deann Pellicore
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	235 W Western Ave, Avondale, Arizona
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 Krista Deann Pellicore graduated from medical school in 2000

NPI Data:

NPI Number: 1235174731
Provider Enumeration Date: 06/18/2006
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2264320290
Enrollment ID: I20131120001545

Medical Identifiers

Medical identifiers for Dr Krista Deann Pellicore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235174731	NPI	-	NPPES
200447730	Medicaid	IN
000000305690	Other		BCBS PROVIDER NUMBER
857797	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	48328 (Arizona)	Primary
207Q00000X	Family Medicine	01057388A (Indiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Denova Collaborative Health, Llc	2466437736	70

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 Krista Deann Pellicore allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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 Krista Deann Pellicore 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 Krista Deann Pellicore, MD 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Dr Krista Deann Pellicore, MD 235 W Western Ave, Avondale, AZ 85323-1848 Ph: (602) 230-7373

Reviews and Comments

Family Medicine Doctors in Avondale, AZ

Dr. Steven Rush Sumpter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd, 201, Avondale, AZ 85392 Phone: 602-433-0155 Fax: 623-433-0185
Dr. Kamel M Sadek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392 Phone: 623-936-3312 Fax: 623-936-4248
Mrs. Meaghan Patricia Payne, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10705 W Indian School Rd, Avondale, AZ 85392 Phone: 602-743-5458
Dr. Mark S Bessette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3125 N Dysart Rd, Avondale, AZ 85392 Phone: 623-882-9161 Fax: 623-925-0745
Dr. Goshtasb Javdan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 E Van Buren St, Avondale, AZ 85323 Phone: 623-344-6800 Fax: 623-344-6801
Dr. Phat Dai Hoang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13065 W Mcdowell Rd, Suite A105, Avondale, AZ 85392 Phone: 623-536-6788 Fax: 623-536-9288

Dr Krista Deann Pellicore, MD - Medicare Family Practice in Avondale, AZ