DR. ANTHONY MARIO PELACCIA MD
NPI 1811620610
Student in an Organized Health Care Education/Training Program in Livonia, MI

Q: What is Anthony Pelaccia's NPI number?

The NPI number for Anthony Pelaccia is 1811620610. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Q: What is Anthony Pelaccia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Pelaccia was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2022PECOS Enrolled

37595 7 MILE RD STE 210, LIVONIA, MI 48152(734) 853-5690(734) 430-9388 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Anthony Mario Pelaccia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY MARIO PELACCIA MD (NPI 1811620610) is an individual student in an organized health care education/training program in Livonia, Michigan and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811620610

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANTHONY MARIO PELACCIACredential: MD

Location Address37595 7 MILE RD STE 210Livonia, MI 48152-1489

Mailing Address37595 7 Mile Rd Ste 210Livonia, MI 48152-1489 · (734) 853-5690 · Fax (734) 430-9388

Phone(734) 853-5690

Fax(734) 430-9388

Sole ProprietorYes

Enumeration DateJuly 8, 2022

NPPES CertifiedJuly 8, 2022

✔ NPI 1811620610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

37595 7 MILE RD STE 210, Livonia, MI 48152

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Mario Pelaccia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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General Practice