Mrs Nichole Lynn Pelletier, CRNP in California, MD

Mrs Nichole Lynn Pelletier, CRNP is a medicare enrolled "Nurse Practitioner - Family" in California, Maryland. She graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Benner Medical Group Pa and her current practice location is 23415 Three Notch Rd, Suite 2054 Wildwood Center, California, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 737-7833.

Mrs Nichole Lynn Pelletier is licensed to practice in Maryland (license number R162889) 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 1841379781.

Contact Information

	Mrs Nichole Lynn Pelletier, CRNP
	23415 Three Notch Rd, Suite 2054 Wildwood Center, California, MD 20619-4017
	(301) 737-7833
	(301) 737-4865

Map and Direction

Provider's Profile

Full Name	Mrs Nichole Lynn Pelletier
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	23415 Three Notch Rd, California, Maryland
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:

Mrs Nichole Lynn Pelletier graduated from nursing school in 2003

NPI Data:

NPI Number: 1841379781
Provider Enumeration Date: 11/02/2006
Last Update Date: 11/10/2010

Medicare PECOS Information:

PECOS PAC ID: 6608847561
Enrollment ID: I20040804000293

Medical Identifiers

Medical identifiers for Mrs Nichole Lynn Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841379781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R162889 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Health Vna, Inc	Calverton, MD	Home health agency
Medstar Saint Mary's Hospital	Leonardtown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Benner Medical Group Pa	9537186952	4

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. Mrs Nichole Lynn Pelletier allows following entities to bill medicare on her behalf.

Entity Name	Benner Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407970809 PECOS PAC ID: 9537186952 Enrollment ID: O20081008000525

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. Mrs Nichole Lynn 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
Mrs Nichole Lynn Pelletier, CRNP Po Box 189, Hollywood, MD 20636-0189 Ph: () -	Mrs Nichole Lynn Pelletier, CRNP 23415 Three Notch Rd, Suite 2054 Wildwood Center, California, MD 20619-4017 Ph: (301) 737-7833

Reviews and Comments

Nurse Practitioner Nurses in California, MD

Victoria Dube, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-373-7900
Mary Clark Magill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-373-7900 Fax: 301-373-6900
Anna Marie Bullis, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 22711 Parkview Dr, California, MD 20619 Phone: 301-310-4462
Phyllis A Rumore-farris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23415 Three Notch Rd, California, MD 20619 Phone: 301-373-7900 Fax: 301-373-6900
Kathlyn Morgan Brigham, RN, MS, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22936 Cattail Ln, California, MD 20619 Phone: 301-862-5344
Mrs. Christine C Neurauter, PA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-373-7700 Fax: 301-373-6700
Guillana Simon, MSN FNP-BC, RN, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-737-0500

Mrs Nichole Lynn Pelletier, CRNP - Medicare Nurse Practitioner in California, MD