Petter Mawad Rophael, PA is a medicare enrolled "Physician Assistant" physician in Charlotte, North Carolina. His current practice location is
1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 355-0720.
Petter Mawad Rophael is licensed to practice in North Carolina (license number 0010-11733) 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 1235869272.
Physician's Profile
Full Name | Petter Mawad Rophael |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1000 Blythe Blvd, Charlotte, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235869272
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385020270
- Enrollment ID: I20220929002219
Medical Identifiers
Medical identifiers for Petter Mawad Rophael such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235869272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 0010-11733 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-11733 (North Carolina) | Primary |
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. Petter Mawad Rophael 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 |
Petter Mawad Rophael, PA Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Petter Mawad Rophael, PA 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-0720 |
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