Gabriella Petrongolo, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. Her current practice location is
1015 Walnut St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 955-8363.
Gabriella Petrongolo is licensed to practice in * (Not Available) (license number ) 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 1891372579.
Physician's Profile
Full Name | Gabriella Petrongolo |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1015 Walnut St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891372579
- Provider Enumeration Date: 03/27/2021
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002211638
- Enrollment ID: I20210820000063
Medical Identifiers
Medical identifiers for Gabriella Petrongolo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891372579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0401X | Family Medicine - Addiction Medicine | OS023428 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Gabriella Petrongolo 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 |
Gabriella Petrongolo, DO 1200 Old York Rd, Abington, PA 19001-3788 Ph: (215) 481-2000 | Gabriella Petrongolo, DO 1015 Walnut St, Philadelphia, PA 19107-5005 Ph: (215) 955-8363 |
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