Paul David Petry, DO in Joplin, MO

Paul David Petry, DO is a medicare enrolled "Pediatrics" physician in Joplin, Missouri. His current practice location is 1030 Mcintosh Cir Ste 1, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 347-8750.

Paul David Petry is licensed to practice in Missouri (license number 111311) 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 1942235155.

Contact Information

	Paul David Petry, DO
	1030 Mcintosh Cir Ste 1, Joplin, MO 64804-3690
	(417) 347-8750
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul David Petry
Gender	Male
Speciality	Pediatrics
Location	1030 Mcintosh Cir Ste 1, Joplin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942235155
Provider Enumeration Date: 07/12/2006
Last Update Date: 03/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8224075502
Enrollment ID: I20050408000831

Medical Identifiers

Medical identifiers for Paul David Petry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942235155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	111311 (Missouri)	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. Paul David Petry allows following entities to bill medicare on his behalf.

Entity Name	Freeman-oak Hill Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570

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. Paul David 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
Paul David Petry, DO Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-3474	Paul David Petry, DO 1030 Mcintosh Cir Ste 1, Joplin, MO 64804-3690 Ph: (417) 347-8750

Reviews and Comments

Pediatrics Doctors in Joplin, MO

Krishnamraju Kosuru, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3126 S Jackson Ave, Suite 100, Joplin, MO 64804 Phone: 417-556-3416 Fax: 417-556-3417
Kimra Ross, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1030 Mcintosh Cir, Ste 2, Joplin, MO 64804 Phone: 417-782-9393 Fax: 417-782-4659
Rayni L Teeter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3126 Wisconsin Ave, Joplin, MO 64804 Phone: 417-626-7337 Fax: 417-731-3082
Kelly Jo Meier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866
Lindsey Rae Mcclintick, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1030 Mcintosh Cir Ste 1, Joplin, MO 64804 Phone: 417-347-8750
Caitlin Busch, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: 202 E 50th St, Joplin, MO 64804 Phone: 417-556-3400
Dr. Kelly S Gorman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1030 Mcintosh Cir, Ste 1, Joplin, MO 64804 Phone: 417-347-8750 Fax: 417-347-8788

Paul David Petry, DO - Medicare Pediatrics in Joplin, MO