Kelli A Petronis, MD in Norfolk, VA

Kelli A Petronis, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Norfolk, Virginia. Her current practice location is 601 Childrens Ln, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 668-9222.

Kelli A Petronis is licensed to practice in Virginia (license number 0101233589) 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 1083661151.

Contact Information

	Kelli A Petronis, MD
	601 Childrens Ln, Norfolk, VA 23507-1910
	(757) 668-9222
	(757) 668-7568

Map and Direction

Physician's Profile

Full Name	Kelli A Petronis
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	601 Childrens Ln, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083661151
Provider Enumeration Date: 05/27/2006
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9739373341
Enrollment ID: I20101027001307

Medical Identifiers

Medical identifiers for Kelli A Petronis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083661151	NPI	-	NPPES
006739105	Medicaid	VA
1010661080001	Medicaid	PA
89066C4	Medicaid	NC
403654900	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	0101233589 (Virginia)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	0101233589 (Virginia)	Secondary
208000000X	Pediatrics	0101233589 (Virginia)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	0101233589 (Virginia)	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. Kelli A Petronis allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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. Kelli A Petronis 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
Kelli A Petronis, MD 601 Childrens Ln, Norfolk, VA 23507-1971 Ph: (757) 668-9222	Kelli A Petronis, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-9222

Reviews and Comments

Pediatrics Doctors in Norfolk, VA

Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821
Dr. Phuongkhanh Huy Cromwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 804-695-0305

Kelli A Petronis, MD - Medicare Pediatrics in Norfolk, VA