Sueli Petry, PHD is a medicare enrolled "Psychologist" provider in Piscataway, New Jersey. She graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
671 Hoes Ln W, Piscataway, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 565-9010.
Sueli Petry is licensed to practice in New Jersey (license number 35SI00447300) 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 1477638542.
Healthcare Provider's Profile
Full Name | Sueli Petry |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 19 Years |
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Location | 671 Hoes Ln W, Piscataway, New Jersey |
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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:
- Sueli Petry graduated from medical school in 2005
NPI Data:
- NPI Number: 1477638542
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 10/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 3072652817
- Enrollment ID: I20091208000162
Medical Identifiers
Medical identifiers for Sueli Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477638542 | NPI | - | NPPES |
4144007 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 37FI00160800 (New Jersey) | Secondary |
103T00000X | Psychologist | 35SI00447300 (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. Sueli Petry allows following entities to bill medicare on her behalf.
Entity Name | Rutgers Health Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
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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. Sueli Petry 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 |
Sueli Petry, PHD 328 Denison St, Highland Park, NJ 08904-2732 Ph: (732) 565-9010 | Sueli Petry, PHD 671 Hoes Ln W, Piscataway, NJ 08854-8021 Ph: (732) 565-9010 |
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