Dr Jennifer A Petrillo, MD | |
30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809 | |
(908) 735-7111 | |
(908) 730-6788 |
Full Name | Dr Jennifer A Petrillo |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 27 Years |
Location | 30 Pittstown Road, Clinton, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568566727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA07065200 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hunterdon Medical Center | Flemington, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of New Jersey Omb Centralized Payroll | 6406742592 | 90 |
New Jersey Post Acute Medical Services 1 Pa | 7214200351 | 4 |
Entity Name | State Of New Jersey Omb Centralized Payroll |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811931504 PECOS PAC ID: 6406742592 Enrollment ID: O20050104000058 |
Entity Name | New Jersey Post Acute Medical Services 1 Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578092391 PECOS PAC ID: 7214200351 Enrollment ID: O20170912000743 |
Entity Name | Nj Pacs 2 Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740766195 PECOS PAC ID: 4486903705 Enrollment ID: O20180821000108 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer A Petrillo, MD 40 Pittstown Rd, Clinton, NJ 08809-1209 Ph: (908) 343-1633 | Dr Jennifer A Petrillo, MD 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809 Ph: (908) 735-7111 |
Chik S Chin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Hunterdon Developmental Center, 40 Pittstown Rd, Clinton, NJ 08809 Phone: 908-730-5703 Fax: 908-730-1340 | |
Dr. Charles I. Messina, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 59 Old Route 22, The Doctor Is In, Pa, Clinton, NJ 08809 Phone: 908-730-6363 Fax: 908-730-8185 | |
Deirdre Andrews, M..D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1738 Route 31 North, Suite 203, Clinton, NJ 08809 Phone: 908-735-4645 | |
Anne M. Porter, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Hunterdon Developmental Center, 40 Pittstown Road, Clinton, NJ 08809 Phone: 908-735-4031 Fax: 908-730-1340 | |
James J Vandenburg Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1738 State Route 31, Suite 203, Clinton, NJ 08809 Phone: 908-735-4645 | |
Dr. Nina L Bray, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 59 Old Route 22, The Doctor Is In, Pa, Clinton, NJ 08809 Phone: 908-730-6363 Fax: 908-730-8185 |