Vaheh Daniel Petrossian, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. His current practice location is
1 Gustave L Levy Pl, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 241-4441.
Vaheh Daniel Petrossian is licensed to practice in New York (license number ) 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 1174986434.
Physician's Profile
Full Name | Vaheh Daniel Petrossian |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Gustave L Levy Pl, New York, New York |
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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: 1174986434
- Provider Enumeration Date: 04/03/2016
- Last Update Date: 03/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224323613
- Enrollment ID: I20220816001351
Medical Identifiers
Medical identifiers for Vaheh Daniel Petrossian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174986434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LC0200X | Anesthesiology - Critical Care Medicine | 4351045824 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New York) | 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. Vaheh Daniel Petrossian allows following entities to bill medicare on his behalf.
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
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Entity Name | B--umg Tucson Ap Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487178505 PECOS PAC ID: 1355616517 Enrollment ID: O20171013002780 |
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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. Vaheh Daniel Petrossian 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 |
Vaheh Daniel Petrossian, MD 836 W Wellington Ave, Chicago, IL 60657-5147 Ph: (773) 975-1600 | Vaheh Daniel Petrossian, MD 1 Gustave L Levy Pl, New York, NY 10029-6504 Ph: (212) 241-4441 |
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