Dr Mary Ellen Valletta, MD is a medicare enrolled "Pediatrics" physician in Chiefland, Florida. Her current practice location is
2010 N Young Blvd, Chiefland, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 463-2374.
Dr Mary Ellen Valletta is licensed to practice in Florida (license number ME90984) 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 1275573487.
Physician's Profile
Full Name | Dr Mary Ellen Valletta |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2010 N Young Blvd, Chiefland, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275573487
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 09/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 4082681143
- Enrollment ID: I20040916000922
Medical Identifiers
Medical identifiers for Dr Mary Ellen Valletta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275573487 | NPI | - | NPPES |
270589300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME90984 (Florida) | 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 Mary Ellen Valletta allows following entities to bill medicare on her behalf.
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
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Entity Name | Trenton Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
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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 Mary Ellen Valletta 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 Mary Ellen Valletta, MD 911 S Main St, Trenton, FL 32693-3239 Ph: (352) 463-2374 | Dr Mary Ellen Valletta, MD 2010 N Young Blvd, Chiefland, FL 32626-1951 Ph: (352) 463-2374 |
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