Dr Matthew Shane Petrie, MD is a medicare enrolled "Dermatology" physician in Mc Murray, Pennsylvania. He went to Wake Forest University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Commonwealth Dermatology Pc and his current practice location is
3055 Washington Rd, Suite 203, Mc Murray, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 260-5424.
Dr Matthew Shane Petrie is licensed to practice in Maryland (license number D72126) 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 1114128808.
Physician's Profile
| Full Name | Dr Matthew Shane Petrie |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 3055 Washington Rd, Mc Murray, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matthew Shane Petrie attended and graduated from Wake Forest University School Of Medicine in 2006
NPI Data:
- NPI Number: 1114128808
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 01/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880718675
- Enrollment ID: I20100831000689
Medical Identifiers
Medical identifiers for Dr Matthew Shane Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114128808 | NPI | - | NPPES |
| 102851711-0002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | D72126 (Maryland) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD438908 (Pennsylvania) | Secondary |
| 207N00000X | Dermatology | MD438908 (Pennsylvania) | Secondary |
| 207N00000X | Dermatology | D72126 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Commonwealth Dermatology Pc | 2163711920 | 4 |
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 Matthew Shane Petrie allows following entities to bill medicare on his behalf.
| Entity Name | Commonwealth Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609239847
PECOS PAC ID: 2163711920
Enrollment ID: O20160517002657 |
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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 Matthew Shane 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 Address | Practice Location Address |
|---|
Dr Matthew Shane Petrie, MD
3055 Washington Rd, Suite 203,
Mc Murray, PA 15317-3279
Ph: (724) 260-5424 | Dr Matthew Shane Petrie, MD
3055 Washington Rd, Suite 203,
Mc Murray, PA 15317-3279
Ph: (724) 260-5424 |
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