Lisa Anne Petri, MD - Medicare Family Practice in Pilot Mountain, NC

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Lisa Anne Petri, MD is a medicare enrolled "Family Medicine" physician in Pilot Mountain, North Carolina. She went to Eastern Virginia Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Novant Medical Group Inc, Forsyth Memorial Hospital Inc and her current practice location is 207 Medical St, Pilot Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 368-5011.

Lisa Anne Petri is licensed to practice in North Carolina (license number 01562) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033102389.

Contact Information

Lisa Anne Petri, MD
207 Medical St,
Pilot Mountain, NC 27041-8656
(336) 368-5011
(336) 368-1424

Map and Direction




Physician's Profile

Full NameLisa Anne Petri
GenderFemale
SpecialityFamily Practice
Experience31 Years
Location207 Medical St, Pilot Mountain, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Anne Petri attended and graduated from Eastern Virginia Medical School in 1993
  NPI Data:
  • NPI Number: 1033102389
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355308297
  • Enrollment ID: I20041213000775

Medical Identifiers

Medical identifiers for Lisa Anne Petri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033102389NPI-NPPES
2004-01562MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01562 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yadkin Valley Home HealtJonesville, NCHome health agency
Novant Health Forsyth Medical CenterWinston-salem, NCHospital
Northern Regional HospitalMount airy, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023
Forsyth Memorial Hospital Inc9537071790516

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. Lisa Anne Petri allows following entities to bill medicare on her behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702

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. Lisa Anne Petri 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
Lisa Anne Petri, MD
Po Box 751803,
Charlotte, NC 28275-1803

Ph: () -		Lisa Anne Petri, MD
207 Medical St,
Pilot Mountain, NC 27041-8656

Ph: (336) 368-5011

Reviews and Comments


Family Medicine Doctors in Pilot Mountain, NC

Dr. Darryl Bruce Rhyne, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 Medical St, Pilot Mountain, NC 27041
Phone: 336-368-5011    Fax: 336-368-1424
Randall Scott Keith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 104 Ararat Longhill Rd, Pilot Mountain, NC 27041
Phone: 336-786-7966    Fax: 336-786-1601
Dr. Lisa Naczki Miller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 Medical St, Pilot Mountain, NC 27041
Phone: 336-368-5011    

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.