Dr Anthony Rocco Petito, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in East Providence, Rhode Island. His current practice location is
400 Massasoit Ave, Suite 103, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 919-5560.
Dr Anthony Rocco Petito is licensed to practice in Rhode Island (license number MD09730) 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 1760430730.
Healthcare Provider's Profile
| Full Name | Dr Anthony Rocco Petito |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 400 Massasoit Ave, East Providence, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760430730
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 03/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 7416922737
- Enrollment ID: I20161101000236
Medical Identifiers
Medical identifiers for Dr Anthony Rocco Petito such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760430730 | NPI | - | NPPES |
| 7006548 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 02552 (Rhode Island) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | MD09730 (Rhode Island) | Primary |
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 Anthony Rocco Petito 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 Anthony Rocco Petito, DDS, MD
400 Massasoit Ave, Suite 103,
East Providence, RI 02914-2012
Ph: (401) 919-5560 | Dr Anthony Rocco Petito, DDS, MD
400 Massasoit Ave, Suite 103,
East Providence, RI 02914-2012
Ph: (401) 919-5560 |
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