Timothy J Pellegrin is a Houma, Louisiana based nurse practitioner with 23 years of experience in Psych/Mental Health. He completed his graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy J Pellegrin is APO4222 for Psych/Mental Health in Louisiana. His current practice location is 1014 W Tunnel Blvd, Houma. Patients can reach him at 985-851-1717 or can fax him at 985-868-3839. Timothy J Pellegrin is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1134160815. Timothy J Pellegrin provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Timothy J Pellegrin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6002879137
Enrollment ID:
I20041109000823
NPI Number:
1134160815
NPI Enumeration Date:
10 Jun, 2006
NPI Last Update On:
17 Jun, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy J Pellegrin are as mentioned below.
License Number
Specialization
State
Status
APO4222
Psych/Mental Health
Louisiana
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Timothy J Pellegrin is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Teche Action Board Inc (0648163980)
22
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy J Pellegrin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4C669
Other
Louisiana
MEDICARE NUMBER
1152919
Medicaid
Louisiana
568555
Other
Louisiana
MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.