Mrs Tiffany D Pellathy, CRNP - Nurse Practitioner in Wexford, PA

Mrs Tiffany D Pellathy, CRNP is a Nurse Practitioner - Acute Care based in Wexford, Pennsylvania. Mrs Tiffany D Pellathy is licensed to practice in Maryland (license number AC000410) and her current practice location is 3000 Village Run Rd, Bldg. 103-202, Wexford, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (412) 867-9585.

NPI number for Mrs Tiffany D Pellathy is 1558436774 and her current mailing address is 3000 Village Run Rd, Bldg. 103-202, Wexford, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558436774.

Contact Information

Mrs Tiffany D Pellathy, CRNP
3000 Village Run Rd, Bldg. 103-202,
Wexford, PA 15090-6315
(412) 867-9585
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tiffany D Pellathy
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location3000 Village Run Rd, Wexford, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558436774
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 01/31/2011

Medical Identifiers

Medical identifiers for Mrs Tiffany D Pellathy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558436774NPI-NPPES
415096100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AC000410 (Maryland)Primary
363AM0700XPhysician Assistant - Medical AC000410 (Maryland)Secondary

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 Tiffany D Pellathy 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 AddressPractice Location Address
Mrs Tiffany D Pellathy, CRNP
3000 Village Run Rd, Bldg. 103-202,
Wexford, PA 15090-6315

Ph: (412) 867-9585
Mrs Tiffany D Pellathy, CRNP
3000 Village Run Rd, Bldg. 103-202,
Wexford, PA 15090-6315

Ph: (412) 867-9585

Reviews and Comments


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