Dr Mario Emilio Pelletier, MD in Kissimmee, FL

Dr Mario Emilio Pelletier, MD is a medicare enrolled "Internal Medicine" physician in Kissimmee, Florida. He graduated from medical school in 1977 and has 49 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Conviva Medical Center Management, Llc and his current practice location is 920 N John Young Pkwy, Kissimmee, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 956-1920.

Dr Mario Emilio Pelletier is licensed to practice in Florida (license number ME159611) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457310724.

Contact Information

	Dr Mario Emilio Pelletier, MD
	920 N John Young Pkwy, Kissimmee, FL 34741-4914
	(407) 956-1920
	(833) 450-5410

Map and Direction

Physician's Profile

Full Name	Dr Mario Emilio Pelletier
Gender	Male
Speciality	Internal Medicine
Experience	49 Years
Location	920 N John Young Pkwy, Kissimmee, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mario Emilio Pelletier graduated from medical school in 1977

NPI Data:

NPI Number: 1457310724
Provider Enumeration Date: 03/23/2006
Last Update Date: 11/28/2025

Medicare PECOS Information:

PECOS PAC ID: 1355408642
Enrollment ID: I20230915000066

Medical Identifiers

Medical identifiers for Dr Mario Emilio Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457310724	NPI	-	NPPES
2324105	Medicaid	NJ
42D671	Other	NJ	EMPIRE BLUE CROSS
129222900	Medicaid	FL
ME159611	Other	FL	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	42560 (New Jersey)	Secondary
207R00000X	Internal Medicine	ME159611 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Harborage (the)	North bergen, NJ	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	491

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 Mario Emilio Pelletier allows following entities to bill medicare on his behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

Entity Name	Metcare Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902893225 PECOS PAC ID: 9739265141 Enrollment ID: O20100308000361

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 Mario Emilio Pelletier 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 Mario Emilio Pelletier, MD 425 W Colonial Dr Ste 303, Orlando, FL 32804-6863 Ph: (407) 956-1920	Dr Mario Emilio Pelletier, MD 920 N John Young Pkwy, Kissimmee, FL 34741-4914 Ph: (407) 956-1920

Reviews and Comments

Internal Medicine Doctors in Kissimmee, FL

Dr. Richard Medina Perez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 901 E Oak Street Suite C, Kissimmee, FL 34744 Phone: 386-561-9967 Fax: 844-815-1446
Dr. Mohammad T Siddiqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 N Central Ave, Kissimmee, FL 34741 Phone: 407-851-5600 Fax: 407-438-0507
Dr. Giovanni Hernandez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1178 Cypress Glen Circle, Kissimmee, FL 34741 Phone: 407-943-8883 Fax: 407-943-8854
Sidi A Elalaoui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1952 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-343-1284 Fax: 407-343-1286
Basher M Atiquzzaman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 N Orange Blossom Trail, Suite 302, Kissimmee, FL 34744 Phone: 407-932-6193 Fax: 407-932-6194
Dr. Mukesh Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Oak Commons Blvd, Kissimmee, FL 34741 Phone: 407-846-0626 Fax: 407-846-2371
Dr. Adam L Griggs, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1121 N Central Ave, Suite B, Kissimmee, FL 34741 Phone: 407-933-1221 Fax: 407-933-0747

Dr Mario Emilio Pelletier, MD - Medicare Internal Medicine in Kissimmee, FL