Lisa Ann Petrella, FNP-C is a
Nurse Practitioner - Family based in Freeville, New York. Lisa Ann Petrella is licensed to practice in New York (license number 354427) and her current practice location is
410 Ferguson Rd, Freeville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 480-8664.
NPI number for Lisa Ann Petrella is 1902628555 and her current mailing address is 410 Ferguson Rd, Freeville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902628555.
Provider's Profile
Full Name | Lisa Ann Petrella |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 410 Ferguson Rd, Freeville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902628555
- Provider Enumeration Date: 10/25/2024
- Last Update Date: 10/25/2024
Medical Identifiers
Medical identifiers for Lisa Ann Petrella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902628555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 354427 (New York) | Primary |
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. Lisa Ann Petrella is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Ann Petrella, FNP-C 410 Ferguson Rd, Freeville, NY 13068-5635 Ph: (315) 480-8664 | Lisa Ann Petrella, FNP-C 410 Ferguson Rd, Freeville, NY 13068-5635 Ph: (315) 480-8664 |
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