Kerri L Pellam, is a
Nurse Practitioner - Adult Health physician based in Watertown, New York. Kerri L Pellam is licensed to practice in New York (license number 357284) and her current practice location is 830 Washington St, Watertown, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 709-9065.
NPI number for Kerri L Pellam is 1295528081 and her current mailing address is 7485 Hodge Rd, Lowville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295528081.
Physician's Profile
Full Name | Kerri L Pellam |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 830 Washington St, Watertown, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295528081
- Provider Enumeration Date: 05/26/2025
- Last Update Date: 07/09/2025
Medical Identifiers
Medical identifiers for Kerri L Pellam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295528081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 357284 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 357284 (New York) | Primary |
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. Kerri L Pellam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kerri L Pellam, 7485 Hodge Rd, Lowville, NY 13367-2332 Ph: (315) 709-9065 | Kerri L Pellam, 830 Washington St, Watertown, NY 13601-4034 Ph: (315) 709-9065 |
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