Dr Cody Petrie, MD - Medicare Emergency Medicine in Phoenix, AZ

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Dr Cody Petrie, MD is a medicare enrolled "Emergency Medicine" physician in Phoenix, Arizona. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Bhsm Rehabilitation Llc, Banner - University Physician Specialists Llc, Emergency Professional Services Pc and his current practice location is 1320 N 10th St, Ste B, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 839-7285.

Dr Cody Petrie is licensed to practice in Arizona (license number 62021) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063919173.

Contact Information

Dr Cody Petrie, MD
1320 N 10th St, Ste B,
Phoenix, AZ 85006-2710
(602) 839-7285
Not Available

Map and Direction




Physician's Profile

Full NameDr Cody Petrie
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location1320 N 10th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Cody Petrie attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1063919173
  • Provider Enumeration Date: 04/06/2018
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547665036
  • Enrollment ID: I20211026003159

Medical Identifiers

Medical identifiers for Dr Cody Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063919173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 62021 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner - University Medical Center PhoenixPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Banner - University Physician Specialists Llc5991008054241
Emergency Professional Services Pc690170727270

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 Cody Petrie allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518984210
PECOS PAC ID: 6901707272
Enrollment ID: O20040119000693
Entity NameBanner - University Physician Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437529245
PECOS PAC ID: 5991008054
Enrollment ID: O20160122001476

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 Cody Petrie 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 AddressPractice Location Address
Dr Cody Petrie, MD
1320 N 10th St, Ste B,
Phoenix, AZ 85006-2710

Ph: (602) 839-7285		Dr Cody Petrie, MD
1320 N 10th St, Ste B,
Phoenix, AZ 85006-2710

Ph: (602) 839-7285

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.