Vincent A Pellegrini, M.D.
Individual provider Active NPI Gynecology Physician · West Reading, PA
NPI 1699748277 · NPPES record last updated Jul 16, 2013
Key facts
- NPI
- 1699748277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- MD017009E (PA)
- Practice address
- 301 S 7TH Ave
Ste 245
West Reading, PA 19611-1410 - Phone
- (610) 374-2214
- Fax
- (610) 685-5852
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040326000023 | PA | Practitioner - Obstetrics/Gynecology | 6204728116 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current |
Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients |
Locations
6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269
301 S 7th Ave
Ste 245
West Reading, PA 19611
Phone (484) 628-7900
301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD017009E | PA | Yes |
Addresses
Primary practice location
301 S 7TH Ave
Ste 245
West Reading, PA 19611-1410
Mailing address
50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 372-8044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000777908 | Medicaid | PA |
Other providers in West Reading, PA
- Alyssa Marie Payette
- Robert C Pease
- Bailey Arias Pechner
- Tiany Santana Peguero
- Dennis John Pellecchia
- Penn State Health Medical Group, LLC
- John Michael Penta
- Sean B Peppard
- Karen A Pescatore
- Erin Marie Pfeffer
All providers in West Reading, PA · Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.