Dr Jennifer A Petrillo, MD - Medicare Family Medicine in Clinton, NJ

Dr Jennifer A Petrillo, MD is a medicare enrolled "Family Medicine" physician in Clinton, New Jersey. Her current practice location is 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 735-7111.

Dr Jennifer A Petrillo is licensed to practice in New Jersey (license number 25MA07065200) 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 1568566727.

Contact Information

Dr Jennifer A Petrillo, MD
30 Pittstown Road, Edna Mahan Correctional Facility For Women,
Clinton, NJ 08809
(908) 735-7111
(908) 730-6788

Map and Direction




Physician's Profile

Full NameDr Jennifer A Petrillo
GenderFemale
SpecialityFamily Medicine
Location30 Pittstown Road, Clinton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568566727
  • Provider Enumeration Date: 09/11/2006
  • Last Update Date: 05/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4587907928
  • Enrollment ID: I20190528001694

Medical Identifiers

Medical identifiers for Dr Jennifer A Petrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568566727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA07065200 (New Jersey)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. Dr Jennifer A Petrillo allows following entities to bill medicare on her behalf.
Entity NameGeps Physician Group Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871512038
PECOS PAC ID: 4981590346
Enrollment ID: O20040409000423
Entity NameState Of New Jersey Omb Centralized Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811931504
PECOS PAC ID: 6406742592
Enrollment ID: O20050104000058
Entity NameNew Jersey Post Acute Medical Services 1 Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578092391
PECOS PAC ID: 7214200351
Enrollment ID: O20170912000743
Entity NameGps Physician Group Of New Jersey, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548776008
PECOS PAC ID: 4688933674
Enrollment ID: O20180119002091
Entity NameNj Pacs 2 Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740766195
PECOS PAC ID: 4486903705
Enrollment ID: O20180821000108
Entity NameAlignmed Medical Group Nj, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245061605
PECOS PAC ID: 4981138609
Enrollment ID: O20241117000001

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. Dr Jennifer A Petrillo 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
Dr Jennifer A Petrillo, MD
40 Pittstown Rd,
Clinton, NJ 08809-1209

Ph: (908) 343-1633
Dr Jennifer A Petrillo, MD
30 Pittstown Road, Edna Mahan Correctional Facility For Women,
Clinton, NJ 08809

Ph: (908) 735-7111

Reviews and Comments


Family Medicine Doctors in Clinton, NJ

Chik S Chin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Hunterdon Developmental Center, 40 Pittstown Rd, Clinton, NJ 08809
Phone: 908-730-5703    Fax: 908-730-1340
Dr. Charles I. Messina, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 59 Old Route 22, The Doctor Is In, Pa, Clinton, NJ 08809
Phone: 908-730-6363    Fax: 908-730-8185
Deirdre Andrews, M..D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1738 Route 31 North, Suite 203, Clinton, NJ 08809
Phone: 908-735-4645    
Anne M. Porter, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Hunterdon Developmental Center, 40 Pittstown Road, Clinton, NJ 08809
Phone: 908-735-4031    Fax: 908-730-1340
James J Vandenburg Iii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1738 State Route 31, Suite 203, Clinton, NJ 08809
Phone: 908-735-4645    
Dr. Nina L Bray, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 59 Old Route 22, The Doctor Is In, Pa, Clinton, NJ 08809
Phone: 908-730-6363    Fax: 908-730-8185

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.