Dr Frank Petrakos, DDS is a medicare enrolled "Dentist" provider in North Lima, Ohio. His current practice location is
11695 Market Street, North Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 549-2800.
Dr Frank Petrakos is licensed to practice in Ohio (license number 20466) 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 1740202662.
Healthcare Provider's Profile
| Full Name | Dr Frank Petrakos |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 11695 Market Street, North Lima, Ohio |
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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: 1740202662
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 03/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 1254563158
- Enrollment ID: I20140408000873
Medical Identifiers
Medical identifiers for Dr Frank Petrakos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740202662 | NPI | - | NPPES |
| 2188010 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 20416 (Ohio) | Secondary |
| 122300000X | Dentist | 20466 (Ohio) | 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 Frank Petrakos 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 Frank Petrakos, DDS
Po Box 304, 11695 Market Street,
North Lima, OH 44452
Ph: (330) 549-2800 | Dr Frank Petrakos, DDS
11695 Market Street,
North Lima, OH 44452
Ph: (330) 549-2800 |
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