Edward Petrarca, LCSW in Montclair, NJ - Medicare Clinical Social Worker Provider

Edward Petrarca, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Montclair, New Jersey. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Montclair Hospital Llc and his current practice location is 1 Bay Ave, Mountainside Hospital, Montclair, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 429-6813.

Edward Petrarca is licensed to practice in New Jersey (license number 44SC00016500) 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 1003986787.

Contact Information

	Edward Petrarca, LCSW
	1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837
	(973) 429-6813
	(973) 680-7715

Map and Direction

Healthcare Provider's Profile

Full Name	Edward Petrarca
Gender	Male
Speciality	Clinical Social Worker
Experience	37 Years
Location	1 Bay Ave, Montclair, New Jersey
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:

Edward Petrarca graduated from medical school in 1987

NPI Data:

NPI Number: 1003986787
Provider Enumeration Date: 11/09/2006
Last Update Date: 07/10/2007

Medicare PECOS Information:

PECOS PAC ID: 9335289396
Enrollment ID: I20091223000076

Medical Identifiers

Medical identifiers for Edward Petrarca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003986787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC00016500 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hackensackumc Mountainside	Montclair, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Montclair Hospital Llc	7810092814	17

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. Edward Petrarca allows following entities to bill medicare on his behalf.

Entity Name	Montclair Hospital Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1386893659 PECOS PAC ID: 7810092814 Enrollment ID: O20090519000038

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. Edward Petrarca 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
Edward Petrarca, LCSW 1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837 Ph: (973) 429-6000	Edward Petrarca, LCSW 1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837 Ph: (973) 429-6813

Reviews and Comments

Social Worker in Montclair, NJ

Ms. Gina L. Sharpe, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Claremont Ave, Montclair, NJ 07042 Phone: 973-509-1618 Fax: 973-509-1618
Ms. Michelle L Harney, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Montclair, NJ 07042 Phone: 973-429-6000
Madeline Till, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Oxford St, Montclair, NJ 07042 Phone: 973-567-2470
Roseann Tuchman Shaiman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Yantacaw Brook Rd, Montclair, NJ 07043 Phone: 973-464-0471
Ms. Kiara D Sarner, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 Plymouth St Ste 105, Montclair, NJ 07042 Phone: 973-783-2292
Robert Brett Fechner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 Cooper Ave, Suite 5b, Montclair, NJ 07043 Phone: 646-246-7135

Edward Petrarca, LCSW - Medicare Clinical Social Worker in Montclair, NJ