Dr Kathleen Marie Petillo, DO in North Easton, MA

Dr Kathleen Marie Petillo, DO is a medicare enrolled "Pediatrics" physician in North Easton, Massachusetts. Her current practice location is 31 Roche Bros Way, North Easton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 894-8760.

Dr Kathleen Marie Petillo is licensed to practice in New York (license number 263552) 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 1093949232.

Contact Information

	Dr Kathleen Marie Petillo, DO
	31 Roche Bros Way, North Easton, MA 02356
	(508) 894-8760
	(508) 894-8762

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Marie Petillo
Gender	Female
Speciality	Pediatrics
Location	31 Roche Bros Way, North Easton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093949232
Provider Enumeration Date: 05/01/2009
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 3779735113
Enrollment ID: I20121210000397

Medical Identifiers

Medical identifiers for Dr Kathleen Marie Petillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093949232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	253293 (Massachusetts)	Secondary
208000000X	Pediatrics	263552 (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. Dr Kathleen Marie Petillo allows following entities to bill medicare on her behalf.

Entity Name	Children's Hospital Pediatric Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964

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 Kathleen Marie Petillo 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
Dr Kathleen Marie Petillo, DO 31 Roche Bros Way, North Easton, MA 02356-1032 Ph: (508) 894-8760	Dr Kathleen Marie Petillo, DO 31 Roche Bros Way, North Easton, MA 02356 Ph: (508) 894-8760

Reviews and Comments

Pediatrics Doctors in North Easton, MA

Dr. Divya Koster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way Ste 210, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412
Leena Mayuresh Rajwadkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412
Jordan H Leff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762
Dr. Suvekchha Devkota, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412
Lisa R Natkin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762

Dr Kathleen Marie Petillo, DO - Medicare Pediatrics in North Easton, MA