MAUREEN MILLER PELLETIER (MD) – Obstetrics & Gynecology Physician, NPI 1043206956

MAUREEN MILLER PELLETIER (MD) is a healthcare provider. based in Edgewood, Kentucky. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 27524 (KY). The NPI Number for MAUREEN MILLER PELLETIER (MD) is 1043206956

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MAUREEN MILLER PELLETIER (MD)
NPI
1043206956
Phone
(859) 301-2440
Address
1 MEDICAL VILLAGE DR
Enumeration Date
26 September 2005
Last Update Date
6 September 2018

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8592124468
Graduation Year
1984 (42 years ago)
PAC ID
5193717148
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20080715000623
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MAUREEN MILLER PELLETIER (MD)

  • S Loop Rd & Medical Village Dr, 1, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States

    EDGEWOOD, KY 41017

    Phone: (859) 301-2440

    Fax: (859) 301-2493

    Type: Location

  • PO BOX 635283

    CINCINNATI, OH 452635283

    Phone: (859) 301-2440

    Fax: (859) 301-2493

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
Family PracticeOH
G A S T R O E N T E R O L O G YKY
Family PracticeOH
-FL
Nurse PractitionerKY

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Frequently asked questions

Is MAUREEN MILLER PELLETIER (MD) listed with a National Provider Identifier?
Yes — MAUREEN MILLER PELLETIER (MD) has NPI 1043206956 on file in the registry.
Is there an active status for MAUREEN MILLER PELLETIER (MD)?
For scheduling context, MAUREEN MILLER PELLETIER (MD) is shown as active in the registry.
What kind of doctor is MAUREEN MILLER PELLETIER (MD)?
MAUREEN MILLER PELLETIER (MD) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MAUREEN MILLER PELLETIER (MD) associated with Edgewood?
Public fields place MAUREEN MILLER PELLETIER (MD) around Edgewood, Kentucky. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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