Thomas P Petrick Jr, DMD - Medicare Family Medicine in Guilford, CT

Thomas P Petrick Jr, DMD is a medicare enrolled "Family Medicine" physician in Guilford, Connecticut. His current practice location is 157 Goose Lane, Guilford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 453-4475.

Thomas P Petrick Jr is licensed to practice in Connecticut (license number CT007691) 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 1043318421.

Contact Information

Thomas P Petrick Jr, DMD
157 Goose Lane,
Guilford, CT 06437-2100
(203) 453-4475
(203) 453-3314

Map and Direction




Physician's Profile

Full NameThomas P Petrick Jr
GenderMale
SpecialityFamily Medicine
Location157 Goose Lane, Guilford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043318421
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052610953
  • Enrollment ID: I20160427001733

Medical Identifiers

Medical identifiers for Thomas P Petrick Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043318421NPI-NPPES
007691OtherCTLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine CT007691 (Connecticut)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. Thomas P Petrick Jr 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
Thomas P Petrick Jr, DMD
157 Goose Lane,
Guilford, CT 06437-2100

Ph: (203) 453-4475
Thomas P Petrick Jr, DMD
157 Goose Lane,
Guilford, CT 06437-2100

Ph: (203) 453-4475

Reviews and Comments


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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.