Stacey Mae Perrotta, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Rochester, New York. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gavia Lifecare Center, Llc and her current practice location is
1081 Long Pond Rd Ste 100, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 371-6464.
Stacey Mae Perrotta is licensed to practice in New York (license number F404153-01) 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 1174258966.
Physician's Profile
| Full Name | Stacey Mae Perrotta |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1081 Long Pond Rd Ste 100, Rochester, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stacey Mae Perrotta graduated from medical school in 2022
NPI Data:
- NPI Number: 1174258966
- Provider Enumeration Date: 07/18/2022
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365811528
- Enrollment ID: I20221209000507
Medical Identifiers
Medical identifiers for Stacey Mae Perrotta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174258966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 404153 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F404153-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Gavia Lifecare Center, Llc | 0749697084 | 8 |
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. Stacey Mae Perrotta allows following entities to bill medicare on her behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
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| Entity Name | University Of Rochester Department Of Psychiatry Clinical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276 |
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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. Stacey Mae Perrotta 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 |
Stacey Mae Perrotta, NP 1081 Long Pond Rd Ste 100, Rochester, NY 14626-5002 Ph: (585) 371-6464 | Stacey Mae Perrotta, NP 1081 Long Pond Rd Ste 100, Rochester, NY 14626-5002 Ph: (585) 371-6464 |
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