Dr Alicia Pellegrin, PHD in Baton Rouge, LA - Medicare Psychologist Provider

Dr Alicia Pellegrin, PHD is a medicare enrolled "Psychologist" provider in Baton Rouge, Louisiana. Her current practice location is 10517 Kentshire Ct, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 769-8335.

Dr Alicia Pellegrin is licensed to practice in Louisiana (license number 751) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134274038.

Contact Information

	Dr Alicia Pellegrin, PHD
	10517 Kentshire Ct, Baton Rouge, LA 70810-2853
	(225) 769-8335
	(225) 769-8396

Healthcare Provider's Profile

Full Name	Dr Alicia Pellegrin
Gender	Female
Speciality	Psychologist
Location	10517 Kentshire Ct, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134274038
Provider Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941455430
Enrollment ID: I20130307000329

Medical Identifiers

Medical identifiers for Dr Alicia Pellegrin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134274038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	751 (Louisiana)	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 Alicia 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
Dr Alicia Pellegrin, PHD 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 Ph: (225) 769-8335	Dr Alicia Pellegrin, PHD 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 Ph: (225) 769-8335

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Dr Alicia Pellegrin, PHD - Medicare Psychologist in Baton Rouge, LA