Emily Colleen Petito, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Emily Colleen Petito, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Baltimore, Maryland. Her current practice location is 401 N Broadway St, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-8893.

Emily Colleen Petito is licensed to practice in Maryland (license number R163713) 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 1720229685.

Contact Information

	Emily Colleen Petito, CRNP
	401 N Broadway St, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD 21287-0019
	(410) 955-8893
	Not Available

Map and Direction

Provider's Profile

Full Name	Emily Colleen Petito
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	401 N Broadway St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720229685
Provider Enumeration Date: 03/23/2009
Last Update Date: 10/27/2009

Medicare PECOS Information:

PECOS PAC ID: 5991845430
Enrollment ID: I20200309001511

Medical Identifiers

Medical identifiers for Emily Colleen Petito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720229685	NPI	-	NPPES
023692600	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R163713 (Maryland)	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. Emily Colleen Petito allows following entities to bill medicare on her behalf.

Entity Name	Delaware Hospice, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821361072 PECOS PAC ID: 8921101395 Enrollment ID: O20120518000239

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. Emily Colleen Petito 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
Emily Colleen Petito, CRNP 3002 Hunting Ridge Dr, Owings Mills, MD 21117-4950 Ph: (410) 356-8016	Emily Colleen Petito, CRNP 401 N Broadway St, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD 21287-0019 Ph: (410) 955-8893

Reviews and Comments

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Emily Colleen Petito, CRNP - Medicare Nurse Practitioner in Baltimore, MD