Diane Petrovich, PA-C - Medicare Physician Assistant in Nuremberg, PA

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Diane Petrovich, PA-C is a medicare enrolled "Physician Assistant" in Nuremberg, Pennsylvania. Her current practice location is 75 Pineapple Street, Black Creek Health Center, Nuremberg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 384-3201.

Diane Petrovich is licensed to practice in Pennsylvania (license number MA000042L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386723534.

Contact Information

Diane Petrovich, PA-C
75 Pineapple Street, Black Creek Health Center,
Nuremberg, PA 18241-0670
(570) 384-3201
(570) 384-3454

Map and Direction




Provider's Profile

Full NameDiane Petrovich
GenderFemale
SpecialityPhysician Assistant
Location75 Pineapple Street, Nuremberg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386723534
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850510249
  • Enrollment ID: I20211103001488

Medical Identifiers

Medical identifiers for Diane Petrovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386723534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA000042L (Pennsylvania)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. Diane Petrovich 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
Diane Petrovich, PA-C
1084 Route 315,
Wilkes-barre, PA 18702-7012

Ph: (570) 825-8741		Diane Petrovich, PA-C
75 Pineapple Street, Black Creek Health Center,
Nuremberg, PA 18241-0670

Ph: (570) 384-3201

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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.