Amy M Petrillo, CNP - Medicare Nurse Practitioner in Louisville, OH

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Amy M Petrillo, CNP is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Ohio. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Care Inc. and her current practice location is 1302 W Main St, Ste. A, Louisville, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 875-5544.

Amy M Petrillo is licensed to practice in Ohio (license number COA 13890-NP) 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 1174874846.

Contact Information

Amy M Petrillo, CNP
1302 W Main St, Ste. A,
Louisville, OH 44641-1114
(330) 875-5544
(330) 875-8150

Map and Direction




Provider's Profile

Full NameAmy M Petrillo
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1302 W Main St, Louisville, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy M Petrillo graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1174874846
  • Provider Enumeration Date: 09/21/2012
  • Last Update Date: 06/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1153571617
  • Enrollment ID: I20121019000030

Medical Identifiers

Medical identifiers for Amy M Petrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174874846NPI-NPPES
0073609MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family COA 13890-NP (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aultman HospitalCanton, OHHospital
Mercy Medical CenterCanton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Care Inc.105220772762

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. Amy M Petrillo allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Care Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114902137
PECOS PAC ID: 1052207727
Enrollment ID: O20040227000660
Entity NameOhio Specialty Physicians Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285745364
PECOS PAC ID: 3476643479
Enrollment ID: O20071213000834

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. Amy M Petrillo 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
Amy M Petrillo, CNP
1302 W Main St, Ste. A,
Louisville, OH 44641-1114

Ph: (330) 875-5544		Amy M Petrillo, CNP
1302 W Main St, Ste. A,
Louisville, OH 44641-1114

Ph: (330) 875-5544

Reviews and Comments


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Alexa Matsui, NP
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Antonio Travis Vargas, CNP
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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.