Mr John William Petras, PHD in Mount Pleasant, MI - Medicare Social Worker Provider

Mr John William Petras, PHD is a medicare enrolled "Social Worker" provider in Mount Pleasant, Michigan. His current practice location is 615 E. Wisconsin Street, Mount Pleasant, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 773-9600.

Mr John William Petras is licensed to practice in Michigan (license number 6801034726) 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 1881947653.

Contact Information

	Mr John William Petras, PHD
	615 E. Wisconsin Street, Mount Pleasant, MI 48858-2767
	(989) 773-9600
	(989) 772-3387

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John William Petras
Gender	Male
Speciality	Social Worker
Location	615 E. Wisconsin Street, Mount Pleasant, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881947653
Provider Enumeration Date: 10/18/2012
Last Update Date: 10/18/2012

Medicare PECOS Information:

PECOS PAC ID: 1557594777
Enrollment ID: I20140423001828

Medical Identifiers

Medical identifiers for Mr John William Petras such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881947653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6401000058 (Michigan)	Secondary
104100000X	Social Worker	6801034726 (Michigan)	Primary
106H00000X	Marriage & Family Therapist	4101005325 (Michigan)	Secondary

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. Mr John William Petras allows following entities to bill medicare on his behalf.

Entity Name	North Country Community Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053474015 PECOS PAC ID: 8820052095 Enrollment ID: O20041117000388

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. Mr John William Petras 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
Mr John William Petras, PHD 615 E. Wisconsin Street, Mount Pleasant, MI 48858-2767 Ph: (989) 773-9600	Mr John William Petras, PHD 615 E. Wisconsin Street, Mount Pleasant, MI 48858-2767 Ph: (989) 773-9600

Mr John William Petras, PHD - Medicare Counselor in Mount Pleasant, MI