Dannel Karl Petgrave, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dawes, West Virginia. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Osu Psychiatry, Llc and his current practice location is
5722 Cabin Creek Rd, Dawes, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 734-2040.
Dannel Karl Petgrave is licensed to practice in West Virginia (license number 1243) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457892705.
Healthcare Provider's Profile
Full Name | Dannel Karl Petgrave |
---|
Gender | Male |
---|
Speciality | Clinical Psychologist |
---|
Experience | 6 Years |
---|
Location | 5722 Cabin Creek Rd, Dawes, West Virginia |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dannel Karl Petgrave graduated from medical school in 2018
NPI Data:
- NPI Number: 1457892705
- Provider Enumeration Date: 03/19/2017
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840624425
- Enrollment ID: I20211013002780
Medical Identifiers
Medical identifiers for Dannel Karl Petgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457892705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1243 (West Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Osu Psychiatry, Llc | 0749272714 | 99 |
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. Dannel Karl Petgrave allows following entities to bill medicare on his behalf.
Entity Name | Ohio State University |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1801854724 PECOS PAC ID: 6103717640 Enrollment ID: O20040323001324 |
---|
Entity Name | Ohio State University |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1972561892 PECOS PAC ID: 9739070244 Enrollment ID: O20040323001755 |
---|
Entity Name | Osu Psychiatry, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1194773317 PECOS PAC ID: 0749272714 Enrollment ID: O20040331000566 |
---|
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. Dannel Karl Petgrave 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 |
Dannel Karl Petgrave, PHD 5722 Cabin Creek Rd, Dawes, WV 25054-7700 Ph: () - | Dannel Karl Petgrave, PHD 5722 Cabin Creek Rd, Dawes, WV 25054 Ph: (304) 734-2040 |
Reviews and Comments