Neil Petrosky, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lords Valley, Pennsylvania. His current practice location is
750 Route 739, Lords Valley, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 775-4081.
Neil Petrosky is licensed to practice in Pennsylvania (license number CW018342) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093106635.
Healthcare Provider's Profile
Full Name | Neil Petrosky |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 750 Route 739, Lords Valley, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093106635
- Provider Enumeration Date: 02/17/2015
- Last Update Date: 02/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 8729390125
- Enrollment ID: I20150626000766
Medical Identifiers
Medical identifiers for Neil Petrosky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093106635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW018342 (Pennsylvania) | 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. Neil Petrosky allows following entities to bill medicare on his behalf.
Entity Name | Wayne Memorial Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
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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. Neil Petrosky 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 |
Neil Petrosky, LCSW 601 Park St, Honesdale, PA 18431-1445 Ph: () - | Neil Petrosky, LCSW 750 Route 739, Lords Valley, PA 18428-6058 Ph: (570) 775-4081 |
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