Peter Petrenko, MD | |
1 S Creek Dr, Monticello, KY 42633-9472 | |
(606) 348-3365 | |
(606) 348-8496 |
Full Name | Peter Petrenko |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 1 S Creek Dr, Monticello, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770574147 | NPI | - | NPPES |
64018799 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34553 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne County Hospital | Monticello, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monticello Medical Associates, Inc. | 2062409154 | 12 |
Entity Name | Monticello Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063007672 PECOS PAC ID: 2062409154 Enrollment ID: O20040429000965 |
Mailing Address | Practice Location Address |
---|---|
Peter Petrenko, MD 1 S Creek Dr, Monticello, KY 42633-9472 Ph: (606) 348-3365 | Peter Petrenko, MD 1 S Creek Dr, Monticello, KY 42633-9472 Ph: (606) 348-3365 |
Shawna M. Sexton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 166 Hospital St, Monticello, KY 42633 Phone: 606-340-3251 Fax: 606-348-0618 | |
Pamela A Molloy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 S Creek Dr, Suite # 102, Monticello, KY 42633 Phone: 606-348-3365 Fax: 606-348-8496 | |
Christine M Foster, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1293 N Main St Ste 102, Monticello, KY 42633 Phone: 606-340-8825 | |
Richard B Mayer Ii, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 S Creek Dr, Ste 102, Monticello, KY 42633 Phone: 606-348-3365 Fax: 606-348-8496 |