Dr Donald Edward Fetterolf, MD, MBA is a medicare enrolled "Internal Medicine" physician in Mc Donald, Pennsylvania. His current practice location is
12 Laurel Hill Rd, Mc Donald, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 638-2891.
Dr Donald Edward Fetterolf is licensed to practice in Pennsylvania (license number MD023825-E) 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 1730249749.
Physician's Profile
Full Name | Dr Donald Edward Fetterolf |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 12 Laurel Hill Rd, Mc Donald, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730249749
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 06/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 7517258569
- Enrollment ID: I20160622000212
Medical Identifiers
Medical identifiers for Dr Donald Edward Fetterolf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730249749 | NPI | - | NPPES |
MD023825E | Other | PA | PA STATE LICENSE NUMBER |
058175 | Other | GA | GA STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD023825-E (Pennsylvania) | 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 Donald Edward Fetterolf 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 Donald Edward Fetterolf, MD, MBA Po Box 246, Imperial, PA 15126-0246 Ph: (412) 638-2891 | Dr Donald Edward Fetterolf, MD, MBA 12 Laurel Hill Rd, Mc Donald, PA 15057-3503 Ph: (412) 638-2891 |
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