Mr Carl Anthony Petitto, OT/L in Watertown, NY - Medicare Occupational Therapy Provider

Mr Carl Anthony Petitto, OT/L is a medicare enrolled "Occupational Therapist" provider in Watertown, New York. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Samaritan Medical Practice Pc and his current practice location is 22567 Summit Dr Bldg 2, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at (315) 779-6784.

Mr Carl Anthony Petitto is licensed to practice in New York (license number 0107001) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245217066.

Contact Information

	Mr Carl Anthony Petitto, OT/L
	22567 Summit Dr Bldg 2, Watertown, NY 13601-7210
	(315) 779-6784
	(315) 779-6799

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Carl Anthony Petitto
Gender	Male
Speciality	Occupational Therapy
Experience	24 Years
Location	22567 Summit Dr Bldg 2, Watertown, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Carl Anthony Petitto graduated from medical school in 2000

NPI Data:

NPI Number: 1245217066
Provider Enumeration Date: 12/22/2005
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3577553346
Enrollment ID: I20140729000142

Medical Identifiers

Medical identifiers for Mr Carl Anthony Petitto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245217066	NPI	-	NPPES
02163660	Other	NY	GROUP MEDICAID
BA0113	Other		GR MEDICARE
02562729	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0107001 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samaritan Medical Practice Pc	5698853133	20

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. Mr Carl Anthony Petitto allows following entities to bill medicare on his behalf.

Provider Name	Samaritan Medical Practice Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124202619 PECOS PAC ID: 5698853133 Enrollment ID: O20080423000539

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. Mr Carl Anthony Petitto 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
Mr Carl Anthony Petitto, OT/L 22567 Summit Dr Bldg 2, Watertown, NY 13601-7210 Ph: (315) 779-6784	Mr Carl Anthony Petitto, OT/L 22567 Summit Dr Bldg 2, Watertown, NY 13601-7210 Ph: (315) 779-6784

Reviews and Comments

Occupational Therapist in Watertown, NY

Kristi Marie Balcom, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1635 Ohio St, Watertown, NY 13601 Phone: 315-786-7285 Fax: 315-786-7270
Caitlin Defranco, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4000
Jaclyn Lane, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 Nys Rt 3, Watertown, NY 13601 Phone: 315-779-7100
Mr. Richard Paul Rotondi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 State Route 3, Jefferson Lewis County Boces, Watertown, NY 13601 Phone: 315-779-7100 Fax: 315-779-7109
Dawn M Mcgrath, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16783 Ives Street Ext, Watertown, NY 13601 Phone: 315-788-5377
Lisa D Cooley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 Ny State Rte 3, Watertown, NY 13601 Phone: 315-779-7100 Fax: 131-577-9710
Mrs. Ami Marie Gydesen, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 22567 Summit Dr Bldg 2, Watertown, NY 13601 Phone: 315-779-6784

Mr Carl Anthony Petitto, OT/L - Medicare Occupational Therapist in Watertown, NY