Dr Stephanie Pettingle, APRN DNP in Shelton, CT

Dr Stephanie Pettingle, APRN DNP is a medicare enrolled "Nurse Practitioner - Family" in Shelton, Connecticut. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Medical Group Inc and her current practice location is 4 Corporate Dr, Shelton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 225-0375.

Dr Stephanie Pettingle is licensed to practice in Connecticut (license number 5676) 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 1205258605.

Contact Information

	Dr Stephanie Pettingle, APRN DNP
	4 Corporate Dr, Shelton, CT 06484-6211
	(203) 225-0375
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Stephanie Pettingle
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	4 Corporate Dr, Shelton, 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:

Dr Stephanie Pettingle graduated from nursing school in 2013

NPI Data:

NPI Number: 1205258605
Provider Enumeration Date: 01/20/2014
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 4587882949
Enrollment ID: I20151016000343

Medical Identifiers

Medical identifiers for Dr Stephanie Pettingle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205258605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F338355 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	5676 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bridgeport Hospital	Bridgeport, CT	Hospital

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 Stephanie Pettingle allows following entities to bill medicare on her behalf.

Entity Name	Griffin Faculty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158

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: O20040123000522

Entity Name	Connecticut Mental Health Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053362814 PECOS PAC ID: 0345130563 Enrollment ID: O20040319000165

Entity Name	Horizon Family Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942944582 PECOS PAC ID: 2961870340 Enrollment ID: O20221115002876

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 Stephanie Pettingle 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 Stephanie Pettingle, APRN DNP 4 Corporate Dr Ste 394, Shelton, CT 06484-6240 Ph: (203) 225-0375	Dr Stephanie Pettingle, APRN DNP 4 Corporate Dr, Shelton, CT 06484-6211 Ph: (203) 225-0375

Reviews and Comments

Nurse Practitioner Nurses in Shelton, CT

Susan Penque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Frans Way, Shelton, CT 06484 Phone: 516-640-6195
Jacqueline Aileen Gambeski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Corporate Dr Ste 290, Shelton, CT 06484 Phone: 203-452-8322
Dolores Starrett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Acadia Ln Unit 6103, Shelton, CT 06484 Phone: 203-808-5509
Mrs. Elyane L Michnick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Corporate Dr, Suite 420, Shelton, CT 06484 Phone: 203-925-9600 Fax: 203-926-0594
Marie Oge-nerette, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Cranston Ave, Shelton, CT 06484 Phone: 203-209-4837
Nina Marie Lamagna, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Progress Drive Suite 200, Np Care Llc, Shelton, CT 06484 Phone: 203-925-9600
Mrs. Kaitlyn Finneran, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-308-6914

Dr Stephanie Pettingle, APRN DNP - Medicare Nurse Practitioner in Shelton, CT