Dr Dimitri Michael Petro, MD is a medicare enrolled "General Practice" physician in Donora, Pennsylvania. His current practice location is
718 Mckean Ave, Donora, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 379-4401.
Dr Dimitri Michael Petro is licensed to practice in Pennsylvania (license number MD027877L) 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 1760469456.
Physician's Profile
| Full Name | Dr Dimitri Michael Petro |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 718 Mckean Ave, Donora, Pennsylvania |
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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: 1760469456
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 01/06/2010
Medicare PECOS Information:
- PECOS PAC ID: 7012044282
- Enrollment ID: I20100420000325
Medical Identifiers
Medical identifiers for Dr Dimitri Michael Petro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760469456 | NPI | - | NPPES |
| 66097 | Other | PA | 3 RIVERS HEALTH PLAN |
| 250818 | Other | PA | UPMC |
| 0731177 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | MD027877L (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 Dimitri Michael Petro allows following entities to bill medicare on his behalf.
| Entity Name | Centerville Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801877048
PECOS PAC ID: 7214837202
Enrollment ID: O20040427000681 |
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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 Dimitri Michael Petro 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 Dimitri Michael Petro, MD
718 Mckean Ave,
Donora, PA 15033-1061
Ph: (724) 379-4401 | Dr Dimitri Michael Petro, MD
718 Mckean Ave,
Donora, PA 15033-1061
Ph: (724) 379-4401 |
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