Dr Gregory D Petrilla, DMD in Indiana, PA - Medicare Dentist Provider

Dr Gregory D Petrilla, DMD is a medicare enrolled "Dentist" provider in Indiana, Pennsylvania. His current practice location is 590 Indian Springs Rd, Indiana, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 465-6100.

Dr Gregory D Petrilla is licensed to practice in Pennsylvania (license number DS039264) 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 1679828081.

Contact Information

	Dr Gregory D Petrilla, DMD
	590 Indian Springs Rd, Indiana, PA 15701-3600
	(724) 465-6100
	(724) 465-6110

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregory D Petrilla
Gender	Male
Speciality	Dentist
Location	590 Indian Springs Rd, Indiana, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679828081
Provider Enumeration Date: 07/23/2012
Last Update Date: 08/16/2019

Medicare PECOS Information:

PECOS PAC ID: 2860713013
Enrollment ID: I20181127000909

Medical Identifiers

Medical identifiers for Dr Gregory D Petrilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679828081	NPI	-	NPPES
1027479290003	Medicaid	PA
1027479290001	Medicaid	PA
102747929	Medicaid	PA
1027479290002	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DS039264 (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. Dr Gregory D Petrilla allows following entities to bill medicare on his behalf.

Entity Name	Primary Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553

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 Gregory D Petrilla 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 Gregory D Petrilla, DMD 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 465-6100	Dr Gregory D Petrilla, DMD 590 Indian Springs Rd, Indiana, PA 15701-3600 Ph: (724) 465-6100

Reviews and Comments

Dentist in Indiana, PA

Gary Ross Eggler, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Hospital Rd, Suite 1100, Indiana, PA 15701 Phone: 724-349-9220 Fax: 724-349-9221
Dr. Dennis Richard Brumbaugh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1177 South 6th St, Suite G, Indiana, PA 15701 Phone: 724-465-2036 Fax: 724-465-2037
James Anthony Connelly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2277 Warren Rd, Indiana, PA 15701 Phone: 724-463-8553 Fax: 724-463-8553
Jeffrey A Cavalancia, DDS MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 152 N Fifth Street, Indiana, PA 15701 Phone: 724-463-7700 Fax: 724-463-7738
Dr. Brian Garry Petras, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 Shelly Dr, Indiana, PA 15701 Phone: 724-463-8050 Fax: 724-463-3544
Dr. James Paul Primm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1177 S 6th St, Suite E, Indiana, PA 15701 Phone: 724-349-9661 Fax: 724-463-0922
Dr. Ralph G Gilliland, Jr, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 Philadelphia St, Indiana, PA 15701 Phone: 724-349-1184 Fax: 724-463-1194

Dr Gregory D Petrilla, DMD - Medicare Dentist in Indiana, PA