Dr Mark Petrun, MD in Fort Collins, CO - Medicare Internal Medicine

Dr Mark Petrun, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fort Collins, Colorado. His current practice location is 2121 E Harmony Rd, Ste 300, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 224-9102.

Dr Mark Petrun is licensed to practice in Colorado (license number DR.0024745) 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 1962472803.

Contact Information

	Dr Mark Petrun, MD
	2121 E Harmony Rd, Ste 300, Fort Collins, CO 80528-3400
	(970) 224-9102
	(970) 224-9112

Map and Direction

Physician's Profile

Full Name	Dr Mark Petrun
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	2121 E Harmony Rd, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962472803
Provider Enumeration Date: 01/24/2006
Last Update Date: 08/16/2016

Medicare PECOS Information:

PECOS PAC ID: 9537129952
Enrollment ID: I20071004000515

Medical Identifiers

Medical identifiers for Dr Mark Petrun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962472803	NPI	-	NPPES
01247451	Medicaid	CO
104364100	Medicaid	WY
290007464	Other	CO	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	DR.0024745 (Colorado)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	DR.0024745 (Colorado)	Primary
207RS0012X	Internal Medicine - Sleep Medicine	DR.0024745 (Colorado)	Secondary
207R00000X	Internal Medicine	DR.0024745 (Colorado)	Secondary

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 Mark Petrun allows following entities to bill medicare on his behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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 Mark Petrun 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 Mark Petrun, MD 2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528-3400 Ph: (970) 224-9102	Dr Mark Petrun, MD 2121 E Harmony Rd, Ste 300, Fort Collins, CO 80528-3400 Ph: (970) 224-9102

Reviews and Comments

Internal Medicine Doctors in Fort Collins, CO

Dr. Stephen A Treat, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Ste 100, Fort Collins, CO 80528 Phone: 970-221-1000 Fax: 970-297-6844
Dr. David Kindley Cobb, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd Unit 380, Fort Collins, CO 80528 Phone: 970-224-0429
Dr. Diana M Breyer, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528 Phone: 970-224-9102 Fax: 970-224-9112
Fred H Meyer, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 219 S Sunset St, Fort Collins, CO 80521 Phone: 970-224-2156 Fax: 970-482-6936
Robert A Simmons, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3702 S Timberline Rd, Fort Collins, CO 80525 Phone: 970-207-9773 Fax: 970-207-1893
Dr. Charles Timothy Johnson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Unit 100, Fort Collins, CO 80528 Phone: 970-221-1000 Fax: 970-297-6860
Dr. Elizabeth A Yoder, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2637 Midpoint Dr Ste B, Fort Collins, CO 80525 Phone: 970-488-1666 Fax: 970-472-9381

Dr Mark Petrun, MD - Medicare Internal Medicine in Fort Collins, CO