Bianca Petrilli, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Chadwicks, New York. Her current practice location is
9468 Elm St, Chadwicks, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 542-3612.
Bianca Petrilli is licensed to practice in New York (license number 012223) 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 1629727607.
Healthcare Provider's Profile
Full Name | Bianca Petrilli |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 9468 Elm St, Chadwicks, 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: 1629727607
- Provider Enumeration Date: 03/18/2022
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769902188
- Enrollment ID: I20250227003617
Medical Identifiers
Medical identifiers for Bianca Petrilli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629727607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 012223 (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. Bianca Petrilli allows following entities to bill medicare on her behalf.
Entity Name | Valera Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
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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. Bianca Petrilli 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 |
Bianca Petrilli, LMHC 9468 Elm St, Chadwicks, NY 13319-3519 Ph: (315) 542-3612 | Bianca Petrilli, LMHC 9468 Elm St, Chadwicks, NY 13319-3519 Ph: (315) 542-3612 |
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