Jake Petillo, - Medicare Nurse Practitioner in New Britain, CT

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Jake Petillo, is a medicare enrolled "Nurse Practitioner" in New Britain, Connecticut. His current practice location is 100 Grand St, New Britain, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 224-5011.

Jake Petillo is licensed to practice in Connecticut (license number 12761) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982474482.

Contact Information

Jake Petillo,
100 Grand St,
New Britain, CT 06052-2016
(860) 224-5011
Not Available

Map and Direction




Provider's Profile

Full NameJake Petillo
GenderMale
SpecialityNurse Practitioner
Location100 Grand St, New Britain, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982474482
  • Provider Enumeration Date: 01/05/2024
  • Last Update Date: 01/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456792134
  • Enrollment ID: I20240513000965

Medical Identifiers

Medical identifiers for Jake Petillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982474482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 12761 (Connecticut)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. Jake Petillo allows following entities to bill medicare on his behalf.
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752
Entity NameThe Hospital Of Central Connecticut At New Britain General And Bradley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497
Entity NameMidstate Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154425288
PECOS PAC ID: 7416840699
Enrollment ID: O20040203000244
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Jake Petillo 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
Jake Petillo,
245 W Center St,
Southington, CT 06489-3550

Ph: (203) 217-3143		Jake Petillo,
100 Grand St,
New Britain, CT 06052-2016

Ph: (860) 224-5011

Reviews and Comments


Nurse Practitioner Nurses in New Britain, CT

Jason Manto, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 85 Lafayette St, New Britain, CT 06051
Phone: 860-224-3642    
Kevin Jimenez, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Grand St, New Britain, CT 06052
Phone: 860-224-5900    
Ms. Vittoria Cappuccia, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 85 Lafayette St, New Britain, CT 06051
Phone: 860-224-3642    
Pramela Singson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 85 Lafayette St, New Britain, CT 06051
Phone: 860-224-3642    
Mrs. Rosa Maria Kleinberg, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2150 Corbin Ave, New Britain, CT 06053
Phone: 860-223-2761    
Susan Dagostino, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 Hart St, New Britain, CT 06052
Phone: 860-229-0100    Fax: 860-225-2647
Dorothy Forsyth, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 55 Winthrop St, New Britain, CT 06052
Phone: 860-224-6968    

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.