Elizabeth J Petelin, DO - Medicare Family Medicine in Paola, KS

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Elizabeth J Petelin, DO is a medicare enrolled "Family Medicine" physician in Paola, Kansas. Her current practice location is 1318 Kansas Dr, Paola, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 557-5678.

Elizabeth J Petelin is licensed to practice in Kansas (license number 05-47905) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851915854.

Contact Information

Elizabeth J Petelin, DO
1318 Kansas Dr,
Paola, KS 66071-2107
(913) 557-5678
(913) 557-5681

Map and Direction




Physician's Profile

Full NameElizabeth J Petelin
GenderFemale
SpecialityFamily Medicine
Location1318 Kansas Dr, Paola, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851915854
  • Provider Enumeration Date: 06/04/2020
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082035449
  • Enrollment ID: I20230710001473

Medical Identifiers

Medical identifiers for Elizabeth J Petelin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851915854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 05-47905 (Kansas)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. Elizabeth J Petelin allows following entities to bill medicare on her behalf.
Entity NameMiami County Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881742807
PECOS PAC ID: 2163311457
Enrollment ID: O20041021000422

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. Elizabeth J Petelin 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 AddressPractice Location Address
Elizabeth J Petelin, DO
Po Box 1475,
Des Moines, IA 50305-1475

Ph: (515) 643-8678		Elizabeth J Petelin, DO
1318 Kansas Dr,
Paola, KS 66071-2107

Ph: (913) 557-5678

Reviews and Comments


Family Medicine Doctors in Paola, KS

Dr. Donald E Banks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Baptiste Dr Ste A, Paola, KS 66071
Phone: 913-294-2305    Fax: 913-294-3144
Alex R Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1318 Kansas Dr, Paola, KS 66071
Phone: 913-557-5678    Fax: 913-557-5681
Eric Lee Dyck, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2102 Baptiste Dr, Paola, KS 66071
Phone: 913-557-5678    Fax: 913-557-5681
Dr. Mark Richard Holscher, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 609 E Miami St, Paola, KS 66071
Phone: 913-731-6334    Fax: 913-294-2258

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.