Jana Petelle, CRNA in New London, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Jana Petelle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New London, Connecticut. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northeast Medical Group Inc, Northeast Medical Group Inc, University Of Kentucky and her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Jana Petelle is licensed to practice in Kentucky (license number 4030919) 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 1396194643.

Contact Information

	Jana Petelle, CRNA
	365 Montauk Ave, New London, CT 06320-4700
	(860) 442-0711
	Not Available

Map and Direction

Provider's Profile

Full Name	Jana Petelle
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	365 Montauk Ave, New London, Connecticut
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:

Jana Petelle graduated from nursing school in 2018

NPI Data:

NPI Number: 1396194643
Provider Enumeration Date: 06/08/2016
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 7315282845
Enrollment ID: I20220209001658

Medical Identifiers

Medical identifiers for Jana Petelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396194643	NPI	-	NPPES
3122430	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	204167 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA183052 (Maine)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	082357-23 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	4030919 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Kentucky Hospital	Lexington, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1287
Northeast Medical Group Inc	1254233836	1287
University Of Kentucky	3072425289	681

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. Jana Petelle allows following entities to bill medicare on her behalf.

Entity Name	Narragansett Bay Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20040928000003

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594

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. Jana Petelle 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
Jana Petelle, CRNA 365 Montauk Ave, New London, CT 06320 Ph: (603) 609-6819	Jana Petelle, CRNA 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New London, CT

Judith Ann Mcgannon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk, Lawrence And Memorial Hospital, New London, CT 06320 Phone: 860-442-0711
Tara M Huta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Sharon B Gallipeau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Thomas Scott Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jolene Marie Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 206-384-6204
Stefanie Guarino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Ekelechi Nwanju, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 973-970-8044

Jana Petelle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New London, CT