Dr Michael Dieter Pellegrinon, - Medicare Dentist in Norcross, GA

Dr Michael Dieter Pellegrinon, is a medicare enrolled "Dentist - General Practice" provider in Norcross, Georgia. His current practice location is 6060 Mcdonough Drive, Suite I, Norcross, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 448-3030.

Dr Michael Dieter Pellegrinon is licensed to practice in Georgia (license number DN10733) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174674931.

Contact Information

Dr Michael Dieter Pellegrinon,
6060 Mcdonough Drive, Suite I,
Norcross, GA 30093
(770) 448-3030
(770) 447-4906



Healthcare Provider's Profile

Full NameDr Michael Dieter Pellegrinon
GenderMale
SpecialityDentist - General Practice
Location6060 Mcdonough Drive, Norcross, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174674931
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002122843
  • Enrollment ID: I20160527000949

Medical Identifiers

Medical identifiers for Dr Michael Dieter Pellegrinon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174674931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DN10733 (Georgia)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. Dr Michael Dieter Pellegrinon 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 AddressPractice Location Address
Dr Michael Dieter Pellegrinon,
1650 Oak Brook Drive, Suite 440,
Norcross, GA 30093

Ph: (770) 446-8000
Dr Michael Dieter Pellegrinon,
6060 Mcdonough Drive, Suite I,
Norcross, GA 30093

Ph: (770) 448-3030

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Dentist in Norcross, GA

Dr. Chu Kai Liang, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5924 Brookside Oak Cir, Norcross, GA 30093
Phone: 213-400-0595    
Do Young Chung, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3953 Holcomb Bridge Rd Ste 100, Norcross, GA 30092
Phone: 678-969-5437    
Dr. Lauren Crawford Weant, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3850 Holcomb Bridge Rd Ste 200, Norcross, GA 30092
Phone: 770-447-5311    
Dr. Adnan A Hossain, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3110 Smith Ridge Trce, Norcross, GA 30071
Phone: 646-402-5670    
Dr. Hongli Zhao, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Beaver Ruin Rd Ste E, Norcross, GA 30071
Phone: 770-242-0021    Fax: 770-242-6016
James B Good Child, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5030 Georgia Belle Ct, Norcross, GA 30093
Phone: 770-638-5708    
Dr. Kael A Rogers, DDS, MD
Dentist
Medicare: Medicare Enrolled
Practice Location: 5635 Peachtree Pkwy Ste 100, Norcross, GA 30092
Phone: 404-990-4595    

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