Mrs Jessica R Petrick, NP - Medicare Nurse Practitioner in Syracuse, NY

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Mrs Jessica R Petrick, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Syracuse, New York. Her current practice location is 655 Madison Street, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 473-8700.

Mrs Jessica R Petrick is licensed to practice in New York (license number 383447) 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 1417671165.

Contact Information

Mrs Jessica R Petrick, NP
655 Madison Street,
Syracuse, NY 13210
(315) 473-8700
(315) 473-8707

Map and Direction




Physician's Profile

Full NameMrs Jessica R Petrick
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location655 Madison Street, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417671165
  • Provider Enumeration Date: 09/27/2022
  • Last Update Date: 11/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113452285
  • Enrollment ID: I20241126002186

Medical Identifiers

Medical identifiers for Mrs Jessica R Petrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417671165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 383447 (New York)Secondary
363L00000XNurse Practitioner 383447 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics 383447 (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. Mrs Jessica R Petrick allows following entities to bill medicare on her behalf.
Entity NameSuny Health Science Center At Syracuse
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420

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 Jessica R Petrick 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 AddressPractice Location Address
Mrs Jessica R Petrick, NP
251 Salina Meadows Parkway, Suite 100,
Syracuse, NY 13212

Ph: (315) 464-2000		Mrs Jessica R Petrick, NP
655 Madison Street,
Syracuse, NY 13210

Ph: (315) 473-8700

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.