Ashley Anne Petito, LCSW in Port Jefferson Station, NY

Ashley Anne Petito, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Port Jefferson Station, New York. Her current practice location is 1050 Hallock Ave Ste 4, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 612-8816.

Ashley Anne Petito is licensed to practice in New York (license number 093572) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366169120.

Contact Information

	Ashley Anne Petito, LCSW
	1050 Hallock Ave Ste 4, Port Jefferson Station, NY 11776-1214
	(631) 612-8816
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ashley Anne Petito
Gender	Female
Speciality	Social Worker - Clinical
Location	1050 Hallock Ave Ste 4, Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366169120
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 9830560119
Enrollment ID: I20230124002544

Medical Identifiers

Medical identifiers for Ashley Anne Petito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366169120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	093572 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Anne Petito allows following entities to bill medicare on her behalf.

Entity Name	Visiting Counselors Of New York, Lcsw, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669906889 PECOS PAC ID: 4688932106 Enrollment ID: O20171211001077

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Anne Petito is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ashley Anne Petito, LCSW Po Box 75, Shoreham, NY 11786-0075 Ph: (631) 612-8816	Ashley Anne Petito, LCSW 1050 Hallock Ave Ste 4, Port Jefferson Station, NY 11776-1214 Ph: (631) 612-8816

Reviews and Comments

Social Worker in Port Jefferson Station, NY

Ms. Amy Elizabeth Millheiser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 516-443-0363
Ms. Ronnie L. Steiner, LCSW-R, CASAC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 516-446-8368 Fax: 631-854-2550
Mr. Victor James Goldman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Hallock Ave, Suite 4, Port Jefferson Station, NY 11776 Phone: 631-928-4114 Fax: 631-476-0766
Peyton-ann Weiss, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 Kensington Way, Port Jefferson Station, NY 11776 Phone: 631-335-6957
Mr. Paul W. Zampieron, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-680-0304 Fax: 631-473-3091
Mr. James A Seitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bergen Pl, Port Jefferson Station, NY 11776 Phone: 631-721-0670
Debra Lograno Dazzo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-473-1320

Ashley Anne Petito, LCSW - Medicare Clinical Social Worker in Port Jefferson Station, NY