Lisa Petroski, RD in Schenectady, NY - Medicare Dietitian, Registered Provider

Lisa Petroski, RD is a medicare enrolled "Dietitian, Registered" provider in Schenectady, New York. Her current practice location is 600 Mcclellan St, Schenectady, New York. You can reach out to her office (for appointments etc.) via phone at (518) 347-5412.

Lisa Petroski is licensed to practice in New York (license number 001538) 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 1508154576.

Contact Information

	Lisa Petroski, RD
	600 Mcclellan St, Schenectady, NY 12304-1009
	(518) 347-5412
	(518) 347-5222

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Petroski
Gender	Female
Speciality	Dietitian, Registered
Location	600 Mcclellan St, Schenectady, 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: 1508154576
Provider Enumeration Date: 07/12/2011
Last Update Date: 07/12/2011

Medicare PECOS Information:

PECOS PAC ID: 8123458668
Enrollment ID: I20200423001567

Medical Identifiers

Medical identifiers for Lisa Petroski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508154576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	001538 (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. Lisa Petroski allows following entities to bill medicare on her behalf.

Provider Name	Ellis Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406

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. Lisa Petroski 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
Lisa Petroski, RD 600 Mcclellan St, Schenectady, NY 12304-1009 Ph: (518) 347-5400	Lisa Petroski, RD 600 Mcclellan St, Schenectady, NY 12304-1009 Ph: (518) 347-5412

Reviews and Comments

Dietitian, Registered in Schenectady, NY

Mrs. Amy Rebecca Kennedy, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 600 Mcclellan St, 2 East, Schenectady, NY 12304 Phone: 518-347-5421
Elaine I Mcdonald, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1405 Fulton Ave, Schenectady, NY 12308 Phone: 518-243-1313 Fax: 518-831-7007
Eleanor A Wilson, R.D., M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 461 Nott St, Schenectady, NY 12308 Phone: 518-379-1272 Fax: 518-379-3390
Erin Gorrell, MS, RD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Harborside Dr, Schenectady, NY 12305 Phone: 518-881-4700
Cristina Rose Desemone, RD Dietitian Medicare: Medicare Enrolled Practice Location: 624 Mcclellan St Ste 202, Schenectady, NY 12304 Phone: 518-347-5421
Mrs. Leslie Ann Doyle, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 658 Salvia Lane, Schenectady, NY 12303 Phone: 518-357-9175
Leslie L Kelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1938 Curry Rd, Schenectady, NY 12303 Phone: 518-382-3290

Lisa Petroski, RD - Medicare Dietitian in Schenectady, NY