DR. MARC D PELLICCIARO M.D.
NPI 1962575951
Psychiatry & Neurology - Addiction Medicine in Bellevue, WA

NPI Status: Active since November 16, 2006

Contact Information

12729 NORTHUP WAY STE 6
BELLEVUE, WA
ZIP 98005
Phone: (425) 467-1000
Fax: (425) 467-0100

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Addiction Medicine
  • Accepts Insurance

About MARC PELLICCIARO

This page provides the complete NPI Profile along with additional information for Marc Pellicciaro, a provider established in Bellevue, Washington with a medical specialization in Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1962575951 assigned on November 2006. The practitioner's primary taxonomy code is 2084A0401X with license number MD 00036813 (WA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1962575951
Provider Name
DR. MARC D PELLICCIARO M.D.
Gender
Male
Entity Type
Individual
Location Address
12729 NORTHUP WAY STE 6 BELLEVUE, WA 98005
Location Phone
(425) 467-1000
Location Fax
(425) 467-0100
Mailing Address
12729 NORTHUP WAY STE 6 BELLEVUE, WA 98005
Mailing Phone
(425) 467-1000
Mailing Fax
(425) 467-0100
Is Sole Proprietor?
No
Enumeration Date
11-16-2006
Last Update Date
04-17-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
License No.
MD 00036813
License State
WA
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MD2652MEDICAID (05)AK 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962575951, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 7 + 1 + 0 + 9 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1962575951.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Addiction Psychiatry)
12729 NORTHUP WAY STE 6
BELLEVUE, WA 98005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962575951, enumerated as an "individual" on November 16, 2006.

The provider is located at 12729 NORTHUP WAY STE 6 BELLEVUE, WA 98005 and the phone number is (425) 467-1000.

Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.