Mrs Stephanie Petrucha, LCSW in Long Branch, NJ - Medicare Social Worker Provider

Mrs Stephanie Petrucha, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Long Branch, New Jersey. Her current practice location is 75 N Bath Ave, Long Branch, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 923-5226.

Mrs Stephanie Petrucha is licensed to practice in New Jersey (license number 44SC05557700) 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 1497293492.

Contact Information

	Mrs Stephanie Petrucha, LCSW
	75 N Bath Ave, Long Branch, NJ 07740-6317
	(732) 923-5226
	(732) 923-5277

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stephanie Petrucha
Gender	Female
Speciality	Social Worker - Clinical
Location	75 N Bath Ave, Long Branch, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497293492
Provider Enumeration Date: 02/09/2017
Last Update Date: 02/09/2017

Medicare PECOS Information:

PECOS PAC ID: 0547633521
Enrollment ID: I20230223000356

Medical Identifiers

Medical identifiers for Mrs Stephanie Petrucha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497293492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05557700 (New Jersey)	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. Mrs Stephanie Petrucha allows following entities to bill medicare on her behalf.

Entity Name	Nj Wellness Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184230138 PECOS PAC ID: 4486073681 Enrollment ID: O20201007000497

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. Mrs Stephanie Petrucha 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
Mrs Stephanie Petrucha, LCSW 75 North Bath Ave, Long Branch, NJ 07740 Ph: (732) 923-5226	Mrs Stephanie Petrucha, LCSW 75 N Bath Ave, Long Branch, NJ 07740-6317 Ph: (732) 923-5226

Reviews and Comments

Social Worker in Long Branch, NJ

Ann M Alves, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 728 Greens Ave Apt 27, Long Branch, NJ 07740 Phone: 845-797-4355
Lorraine Leschhorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 Broadway, Long Branch, NJ 07740 Phone: 732-963-0174 Fax: 732-923-7104
Selena Gentile, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 422 Morris Ave Ste 7, Long Branch, NJ 07740 Phone: 732-986-9798
Mary Vena, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 N Bath Ave, Long Branch, NJ 07740 Phone: 732-923-5222 Fax: 732-923-5277
Mrs. Judy Nasar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 676 Westwood Ave, Long Branch, NJ 07740 Phone: 732-870-0699
Ms. Martha C. Eisner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 Broadway, Monmouth Family Health Center, Long Branch, NJ 07740 Phone: 732-923-7102
Ms. Stacy L Liss, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Atlantic Ave, Long Branch, NJ 07740 Phone: 732-923-0047

Mrs Stephanie Petrucha, LCSW - Medicare Clinical Social Worker in Long Branch, NJ