Dr Mary Gail Pellicciotti, MD - Family Medicine in Beaverton, OR

Dr Mary Gail Pellicciotti, MD is a Family Medicine physician based in Beaverton, Oregon. Dr Mary Gail Pellicciotti is licensed to practice in Oregon (license number MD14245) and her current practice location is 4855 Sw Western Ave, Kaiser, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 643-7565.

NPI number for Dr Mary Gail Pellicciotti is 1902912835 and her current mailing address is 4855 Sw Western Ave, Kaiser, Beaverton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902912835.

Contact Information

Dr Mary Gail Pellicciotti, MD
4855 Sw Western Ave, Kaiser,
Beaverton, OR 97005-3460
(503) 643-7565
Not Available



Physician's Profile

Full NameDr Mary Gail Pellicciotti
GenderFemale
SpecialityFamily Medicine
Location4855 Sw Western Ave, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902912835
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 08/20/2007

Medical Identifiers

Medical identifiers for Dr Mary Gail Pellicciotti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902912835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD14245 (Oregon)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 Mary Gail Pellicciotti 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
Dr Mary Gail Pellicciotti, MD
4855 Sw Western Ave, Kaiser,
Beaverton, OR 97005-3460

Ph: (503) 643-7565
Dr Mary Gail Pellicciotti, MD
4855 Sw Western Ave, Kaiser,
Beaverton, OR 97005-3460

Ph: (503) 643-7565

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› Verified 9 days ago


Family Medicine Doctors in Beaverton, OR

Philip W Pritchard, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1881 Nw 185th Ave, Suite 300, Beaverton, OR 97006
Phone: 503-216-9300    Fax: 503-216-9339
David Albert Pierce, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006
Phone: 503-646-0161    Fax: 503-221-4451
Dr. Carolyn Lee Goebel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005
Phone: 503-352-6000    
Dr. Gerald Wendal Miller, M.D,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006
Phone: 503-466-1823    Fax: 503-466-1823
Dr. Priscilla Butler, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-643-7565    
Vicki Lynne Reid, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-520-4863    
Vanessa H Mckiel, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005
Phone: 503-352-6000    

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