Dr Phillip Warren Petterborg, OD - Optometrist in Dover Afb, DE

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Dr Phillip Warren Petterborg, OD is a Optometrist based in Dover Afb, Delaware. Dr Phillip Warren Petterborg is licensed to practice in Idaho (license number ODP-730) and his current practice location is 300 Tuskegee Blvd, Dover Afb, Delaware. He can be reached at his office (for appointments etc.) via phone at (302) 677-2574.

NPI number for Dr Phillip Warren Petterborg is 1376536813 and his current mailing address is 906 E Pebworth Rd, Magnolia, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376536813.

Contact Information

Dr Phillip Warren Petterborg, OD
300 Tuskegee Blvd,
Dover Afb, DE 19902-5300
(302) 677-2574
(302) 677-2526

Map and Direction




Healthcare Provider's Profile

Full NameDr Phillip Warren Petterborg
GenderMale
SpecialityOptometrist
Location300 Tuskegee Blvd, Dover Afb, Delaware
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376536813
  • Provider Enumeration Date: 08/30/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Phillip Warren Petterborg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376536813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP-730 (Idaho)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. Dr Phillip Warren Petterborg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Phillip Warren Petterborg, OD
906 E Pebworth Rd,
Magnolia, DE 19962-1848

Ph: (302) 697-6176		Dr Phillip Warren Petterborg, OD
300 Tuskegee Blvd,
Dover Afb, DE 19902-5300

Ph: (302) 677-2574

Reviews and Comments


Optometrist in Dover Afb, DE

Dr. Patrick Daniel Shorter, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 300 Tuskegee Blvd, Dover Afb, DE 19902
Phone: 302-677-2577    

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.