Timothy J Pellegrin, PMHNP-BC in Houma, LA - Medicare Nurse Practitioner

Timothy J Pellegrin, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Houma, Louisiana. He graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Teche Action Board Inc and his current practice location is 1014 W Tunnel Blvd, Houma, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 851-1717.

Timothy J Pellegrin is licensed to practice in Louisiana (license number APO4222) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134160815.

Contact Information

	Timothy J Pellegrin, PMHNP-BC
	1014 W Tunnel Blvd, Houma, LA 70360-4050
	(985) 851-1717
	(985) 868-3839

Map and Direction

Provider's Profile

Full Name	Timothy J Pellegrin
Gender	Male
Speciality	Nurse Practitioner
Experience	23 Years
Location	1014 W Tunnel Blvd, Houma, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy J Pellegrin graduated from nursing school in 2002

NPI Data:

NPI Number: 1134160815
Provider Enumeration Date: 06/10/2006
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6002879137
Enrollment ID: I20041109000823

Medical Identifiers

Medical identifiers for Timothy J Pellegrin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134160815	NPI	-	NPPES
4C669	Other	LA	MEDICARE NUMBER
1152919	Medicaid	LA
568555	Other	LA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APO4222 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Teche Action Board Inc	0648163980	23

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. Timothy J Pellegrin allows following entities to bill medicare on his behalf.

Entity Name	Teche Action Board Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174579262 PECOS PAC ID: 0648163980 Enrollment ID: O20041109000792

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. Timothy J Pellegrin 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
Timothy J Pellegrin, PMHNP-BC 1115 Weber St, Franklin, LA 70538-4124 Ph: (337) 828-2550	Timothy J Pellegrin, PMHNP-BC 1014 W Tunnel Blvd, Houma, LA 70360-4050 Ph: (985) 851-1717

Reviews and Comments

Nurse Practitioner Nurses in Houma, LA

Laura Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 855 Belanger St Ste 108, Houma, LA 70360 Phone: 985-868-2302
Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786
Shawn M Keller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020
Virginia M Pellegrin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 509 Dunn St, Houma, LA 70360 Phone: 985-876-1714 Fax: 985-868-6549

Timothy J Pellegrin, PMHNP-BC - Medicare Nurse Practitioner in Houma, LA