Mr Gary Michael Petrus, MD - Medicare Surgery in N Little Rock, AR

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Mr Gary Michael Petrus, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in N Little Rock, Arkansas. His current practice location is 4137 John F Kennedy Blvd Ste A, N Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 614-3052.

Mr Gary Michael Petrus is licensed to practice in Arkansas (license number C7318) 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 1568525806.

Contact Information

Mr Gary Michael Petrus, MD
4137 John F Kennedy Blvd Ste A,
N Little Rock, AR 72116-8230
(501) 614-3052
(501) 614-3057

Map and Direction




Physician's Profile

Full NameMr Gary Michael Petrus
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location4137 John F Kennedy Blvd Ste A, N Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568525806
  • Provider Enumeration Date: 12/18/2006
  • Last Update Date: 01/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971532599
  • Enrollment ID: I20110228000695

Medical Identifiers

Medical identifiers for Mr Gary Michael Petrus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568525806NPI-NPPES
114482001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck C7318 (Arkansas)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery C7318 (Arkansas)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. Mr Gary Michael Petrus allows following entities to bill medicare on his behalf.
Entity NameGary M Petrus Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871666446
PECOS PAC ID: 0244411957
Enrollment ID: O20110228000656

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. Mr Gary Michael Petrus 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
Mr Gary Michael Petrus, MD
Po Box 241580,
Little Rock, AR 72223-0011

Ph: (501) 614-3052		Mr Gary Michael Petrus, MD
4137 John F Kennedy Blvd Ste A,
N Little Rock, AR 72116-8230

Ph: (501) 614-3052

Reviews and Comments


Surgery Doctors in N Little Rock, AR


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.