Stacey Mae Perrotta, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Rochester, New York. Her current practice location is
1081 Long Pond Rd Ste 100, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 371-6464.
Stacey Mae Perrotta is licensed to practice in New York (license number F404153-01) 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 1174258966.
Physician's Profile
Full Name | Stacey Mae Perrotta |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1081 Long Pond Rd Ste 100, Rochester, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174258966
- Provider Enumeration Date: 07/18/2022
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365811528
- Enrollment ID: I20221209000507
Medical Identifiers
Medical identifiers for Stacey Mae Perrotta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174258966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 404153 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F404153-01 (New York) | 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. Stacey Mae Perrotta allows following entities to bill medicare on her behalf.
Entity Name | University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
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Entity Name | University Of Rochester Department Of Psychiatry Clinical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276 |
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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. Stacey Mae Perrotta 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 |
Stacey Mae Perrotta, NP 1081 Long Pond Rd Ste 100, Rochester, NY 14626-5002 Ph: (585) 371-6464 | Stacey Mae Perrotta, NP 1081 Long Pond Rd Ste 100, Rochester, NY 14626-5002 Ph: (585) 371-6464 |
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