Dr Matthew Alexander Petrilli, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in South Boston, Virginia. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Dominion Health Medical Assoc and his current practice location is
504 Wilborn Ave Fl 5, South Boston, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 517-3400.
Dr Matthew Alexander Petrilli is licensed to practice in North Carolina (license number 2020-00301) 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 1538567177.
Physician's Profile
| Full Name | Dr Matthew Alexander Petrilli |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 10 Years |
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| Location | 504 Wilborn Ave Fl 5, South Boston, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matthew Alexander Petrilli graduated from medical school in 2014
NPI Data:
- NPI Number: 1538567177
- Provider Enumeration Date: 12/14/2014
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749518322
- Enrollment ID: I20190820003468
Medical Identifiers
Medical identifiers for Dr Matthew Alexander Petrilli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538567177 | NPI | - | NPPES |
| 87-204216 | Other | NC | PSYCHIATRY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2020-00301 (North Carolina) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101267115 (Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dominion Health Medical Assoc | 1254311558 | 18 |
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. Dr Matthew Alexander Petrilli allows following entities to bill medicare on his behalf.
| Entity Name | Dominion Health Medical Assoc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255771770
PECOS PAC ID: 1254311558
Enrollment ID: O20041206000840 |
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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. Dr Matthew Alexander Petrilli 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 |
|---|
Dr Matthew Alexander Petrilli, MD
504 Wilborn Ave Fl 5,
South Boston, VA 24592-3120
Ph: (434) 517-3400 | Dr Matthew Alexander Petrilli, MD
504 Wilborn Ave Fl 5,
South Boston, VA 24592-3120
Ph: (434) 517-3400 |
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