Ms Kristen Elizabeth Petullo, LCSW in Nutley, NJ - Medicare Clinical Social Worker Provider

Ms Kristen Elizabeth Petullo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Nutley, New Jersey. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nutley Family Service Bureau, Inc. and her current practice location is 169 Chestnut St, Nutley, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 951-2326.

Ms Kristen Elizabeth Petullo is licensed to practice in New Jersey (license number 44SC05335000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952540858.

Contact Information

	Ms Kristen Elizabeth Petullo, LCSW
	169 Chestnut St, Nutley, NJ 07110-2311
	(973) 951-2326
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kristen Elizabeth Petullo
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	169 Chestnut St, Nutley, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kristen Elizabeth Petullo graduated from medical school in 2005

NPI Data:

NPI Number: 1952540858
Provider Enumeration Date: 02/17/2009
Last Update Date: 03/10/2021

Medicare PECOS Information:

PECOS PAC ID: 9234516543
Enrollment ID: I20220506000226

Medical Identifiers

Medical identifiers for Ms Kristen Elizabeth Petullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952540858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05335000 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nutley Family Service Bureau, Inc.	4880866482	4

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. Ms Kristen Elizabeth Petullo allows following entities to bill medicare on her behalf.

Entity Name	Nutley Family Service Bureau, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760532345 PECOS PAC ID: 4880866482 Enrollment ID: O20111004000018

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. Ms Kristen Elizabeth Petullo 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
Ms Kristen Elizabeth Petullo, LCSW 25 Macarthur Dr, Clifton, NJ 07013-3925 Ph: (973) 951-2326	Ms Kristen Elizabeth Petullo, LCSW 169 Chestnut St, Nutley, NJ 07110-2311 Ph: (973) 951-2326

Reviews and Comments

Social Worker in Nutley, NJ

Jennifer L. Sampson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 363 Centre St Ste 2, Nutley, NJ 07110 Phone: 973-287-9800
Mrs. Jennifer Longo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 145 Vreeland Ave, Nutley, NJ 07110 Phone: 973-235-1212
Mrs. Yael Wedeck, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 661 Franklin Ave Fl 2, Nutley, NJ 07110 Phone: 908-627-1937
Mrs. Tiffany Margaret Longo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 Spruce St, Nutley, NJ 07110 Phone: 973-667-7854
Angela Furnari-romano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 596 Franklin Ave, Nutley, NJ 07110 Phone: 973-259-6592
Ingrid Burke, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 562 Kingsland St, Nutley, NJ 07110 Phone: 973-441-0886 Fax: 973-860-1326
Mrs. Patricia A. Politi, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 134 Highfield Ln, Nutley, NJ 07110 Phone: 973-562-9540

Ms Kristen Elizabeth Petullo, LCSW - Medicare Clinical Social Worker in Nutley, NJ