Lisa Ann Petrella, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Freeville, New York. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Guthrie Medical Group Pc and her current practice location is
410 Ferguson Rd, Freeville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 480-8664.
Lisa Ann Petrella is licensed to practice in New York (license number 354427) 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 1902628555.
Provider's Profile
| Full Name | Lisa Ann Petrella |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 410 Ferguson Rd, Freeville, 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. |
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Medical Education and Training:
- Lisa Ann Petrella graduated from nursing school in 2024
NPI Data:
- NPI Number: 1902628555
- Provider Enumeration Date: 10/25/2024
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739602954
- Enrollment ID: I20250328001412
Medical Identifiers
Medical identifiers for Lisa Ann Petrella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902628555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 354427 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Guthrie Medical Group Pc | 6002728656 | 725 |
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. Lisa Ann Petrella allows following entities to bill medicare on her behalf.
| Entity Name | Guthrie Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134178635
PECOS PAC ID: 6002728656
Enrollment ID: O20031103000220 |
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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. Lisa Ann Petrella 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 |
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Lisa Ann Petrella, FNP-C
410 Ferguson Rd,
Freeville, NY 13068-5635
Ph: (315) 480-8664 | Lisa Ann Petrella, FNP-C
410 Ferguson Rd,
Freeville, NY 13068-5635
Ph: (315) 480-8664 |
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