Jeffrey W Petry, MD - Medicare Family Practice in Dayton, OH

Jeffrey W Petry, MD is a medicare enrolled "Family Medicine" physician in Dayton, Ohio. He went to Wright State University Boonshoft School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Five Rivers Health Centers and his current practice location is 30 E Apple St, Ste 3300, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 208-8394.

Jeffrey W Petry is licensed to practice in Ohio (license number 35.051279) 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 1689652372.

Contact Information

Jeffrey W Petry, MD
30 E Apple St, Ste 3300,
Dayton, OH 45409-2939
(937) 208-8394
(937) 208-8388

Map and Direction




Physician's Profile

Full NameJeffrey W Petry
GenderMale
SpecialityFamily Practice
Experience41 Years
Location30 E Apple St, Dayton, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey W Petry attended and graduated from Wright State University Boonshoft School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1689652372
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 11/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4880623099
  • Enrollment ID: I20050808001307

Medical Identifiers

Medical identifiers for Jeffrey W Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689652372NPI-NPPES
0593666MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 35-051279 (Ohio)Secondary
207Q00000XFamily Medicine 35.051279 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Five Rivers Health Centers933530090439

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. Jeffrey W Petry allows following entities to bill medicare on his behalf.
Entity NameFive Rivers Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104115823
PECOS PAC ID: 9335300904
Enrollment ID: O20120409000638

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. Jeffrey W 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 AddressPractice Location Address
Jeffrey W Petry, MD
30 E Apple St, Ste 3300,
Dayton, OH 45409-2939

Ph: (937) 208-8394
Jeffrey W Petry, MD
30 E Apple St, Ste 3300,
Dayton, OH 45409-2939

Ph: (937) 208-8394

Reviews and Comments


Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD
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Phone: 937-293-2133    
Dr. Barbara A Bennett, D.O.
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Medicare: Accepting Medicare Assignments
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Phone: 937-233-4252    Fax: 937-233-7605
Jeffrey R Millard, MD
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Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409
Phone: 937-208-8394    Fax: 937-208-8388
Dr. Teresa Zryd, MD
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Practice Location: 725 University Blvd, Dayton, OH 45435
Phone: 937-245-7200    Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D.
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Phone: 937-252-2000    
Dr. Robert Randall Schaffer, M.D., FAAFP
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Medicare: Medicare Enrolled
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 324 Wilmington Ave, Dayton, OH 45420
Phone: 937-256-4490    Fax: 937-258-5478

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.