Ms Kerri Ann Petitpain, - Medicare Nurse Practitioner in Manorville, NY

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Ms Kerri Ann Petitpain, is a medicare enrolled "Nurse Practitioner - Family" in Manorville, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 18 Scott Ln, Manorville, New York. You can reach out to her office (for appointments etc.) via phone at (631) 905-6890.

Ms Kerri Ann Petitpain is licensed to practice in New York (license number 333951) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760621304.

Contact Information

Ms Kerri Ann Petitpain,
18 Scott Ln,
Manorville, NY 11949-2624
(631) 905-6890
(888) 920-2296

Map and Direction




Provider's Profile

Full NameMs Kerri Ann Petitpain
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location18 Scott Ln, Manorville, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kerri Ann Petitpain attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1760621304
  • Provider Enumeration Date: 02/04/2009
  • Last Update Date: 04/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1153630611
  • Enrollment ID: I20151023000050

Medical Identifiers

Medical identifiers for Ms Kerri Ann Petitpain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760621304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 333951 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tender Loving Care, An Amedisys CompanyMedford, NYHome health agency
Kindred At Home (hauppauge)Hauppauge, NYHome health agency
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital

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. Ms Kerri Ann Petitpain allows following entities to bill medicare on her behalf.
Entity NameKerri Petitpain Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184253262
PECOS PAC ID: 5799114104
Enrollment ID: O20200511002920

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. Ms Kerri Ann Petitpain 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
Ms Kerri Ann Petitpain,
18 Scott Ln,
Manorville, NY 11949-2624

Ph: (631) 764-5561		Ms Kerri Ann Petitpain,
18 Scott Ln,
Manorville, NY 11949-2624

Ph: (631) 905-6890

Reviews and Comments


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Kimberly Ann Riegel,
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Maryjanine T Hausle, FNP
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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.