Callie Alexa Pellegrino, is a medicare enrolled "Physician Assistant" in Purcellville, Virginia. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Loudoun Medical Group, Pc and her current practice location is
200 North Maple Avenue, Purcellville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 338-0177.
Callie Alexa Pellegrino is licensed to practice in * (Not Available) (license number ) 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 1487496816.
Provider's Profile
| Full Name | Callie Alexa Pellegrino |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 200 North Maple Avenue, Purcellville, Virginia |
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| 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:
- Callie Alexa Pellegrino graduated from nursing school in 2024
NPI Data:
- NPI Number: 1487496816
- Provider Enumeration Date: 06/07/2024
- Last Update Date: 03/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153841770
- Enrollment ID: I20250225003459
Medical Identifiers
Medical identifiers for Callie Alexa Pellegrino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487496816 | NPI | - | NPPES |
| 30018164800001 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Loudoun Medical Group, Pc | 0042119661 | 298 |
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. Callie Alexa Pellegrino 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 |
Callie Alexa Pellegrino, 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Callie Alexa Pellegrino, 200 North Maple Avenue, Purcellville, VA 20132-6602 Ph: (540) 338-0177 |
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