John H Petrisko, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Ames, Iowa. His current practice location is
1215 Duff Ave, Ames, Iowa. You can reach out to his office (for appointments etc.) via phone at
(515) 239-4496.
John H Petrisko is licensed to practice in Iowa (license number MD-53555) 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 1083728448.
Physician's Profile
Full Name | John H Petrisko |
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Gender | Male |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 1215 Duff Ave, Ames, Iowa |
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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: 1083728448
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395747042
- Enrollment ID: I20070208000328
Medical Identifiers
Medical identifiers for John H Petrisko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083728448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | MD-53555 (Iowa) | 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. John H Petrisko allows following entities to bill medicare on his behalf.
Entity Name | Billings Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
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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. John H Petrisko 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 |
John H Petrisko, MD 1215 Duff Ave, Ames, IA 50010-5469 Ph: (515) 239-4400 | John H Petrisko, MD 1215 Duff Ave, Ames, IA 50010-5469 Ph: (515) 239-4496 |
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