Dr Gary Lee Petry, MD in Holton, KS - Medicare Family Practice

Dr Gary Lee Petry, MD is a medicare enrolled "Family Medicine" physician in Holton, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St. Vincent General Hospital District and his current practice location is 1110 Columbine Drive, Holton, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 364-2126.

Dr Gary Lee Petry is licensed to practice in Kansas (license number 0428470) 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 1073605085.

Contact Information

	Dr Gary Lee Petry, MD
	1110 Columbine Drive, Holton, KS 66436
	(785) 364-2126
	(785) 364-2801

Map and Direction

Physician's Profile

Full Name	Dr Gary Lee Petry
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	1110 Columbine Drive, Holton, Kansas
Accepts Medicare Assignments	Yes. 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 Gary Lee Petry attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1998

NPI Data:

NPI Number: 1073605085
Provider Enumeration Date: 09/28/2006
Last Update Date: 11/25/2020

Medicare PECOS Information:

PECOS PAC ID: 4789744095
Enrollment ID: I20130710000248

Medical Identifiers

Medical identifiers for Dr Gary Lee Petry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073605085	NPI	-	NPPES
80175101	Other	KS	RR MEDICARE
10039800A	Medicaid	KS
101003	Other	KS	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0428470 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent General Hospital District	Leadville, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Vincent General Hospital District	4587574884	11

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 Gary Lee Petry allows following entities to bill medicare on his behalf.

Entity Name	St. Vincent General Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497710958 PECOS PAC ID: 4587574884 Enrollment ID: O20040316001421

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 Gary Lee Petry 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 Gary Lee Petry, MD 1110 Columbine Drive, Holton, KS 66436 Ph: (785) 364-2126	Dr Gary Lee Petry, MD 1110 Columbine Drive, Holton, KS 66436 Ph: (785) 364-2126

Reviews and Comments

Family Medicine Doctors in Holton, KS

Marija Kay Lawless, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1110 Columbine Dr Ste 100, Holton, KS 66436 Phone: 785-364-2126
Collin Connor, Family Medicine Medicare: Medicare Enrolled Practice Location: 1603 W 4th St, Holton, KS 66436 Phone: 785-364-3205 Fax: 785-364-3468
Vance R Lassey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23020 M Rd, Holton, KS 66436 Phone: 785-362-8677 Fax: 785-362-4372
Malia Sm Warner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Columbine Drive, Holton, KS 66436 Phone: 785-365-2116 Fax: 785-364-9613
Ms. Nancy J Zidek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1603 W 4th St, Holton, KS 66436 Phone: 785-364-3205 Fax: 785-364-3468
Clint M Colberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Columbine Drive, Holton, KS 66436 Phone: 785-364-2116 Fax: 785-364-9613

Dr Gary Lee Petry, MD - Medicare Family Practice in Holton, KS