Matthew D Petta, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Port Townsend, WA

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Matthew D Petta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Townsend, Washington. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Jefferson County Public Hospital District No 2, Washington Gastroenterology Pllc and his current practice location is 628 Madison St, Port Townsend, Washington. You can reach out to his office (for appointments etc.) via phone at (402) 990-0733.

Matthew D Petta is licensed to practice in Washington (license number 60552041) 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 1376569954.

Contact Information

Matthew D Petta, CRNA
628 Madison St,
Port Townsend, WA 98368-4414
(402) 990-0733
Not Available

Map and Direction




Provider's Profile

Full NameMatthew D Petta
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location628 Madison St, Port Townsend, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew D Petta graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1376569954
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 02/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7618985516
  • Enrollment ID: I20150619002355

Medical Identifiers

Medical identifiers for Matthew D Petta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376569954NPI-NPPES
1376569954OtherWANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 60552041 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson HealthcarePort townsend, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson County Public Hospital District No 24789593708105
Washington Gastroenterology Pllc6204194848115

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. Matthew D Petta allows following entities to bill medicare on his behalf.
Entity NameJefferson County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356492953
PECOS PAC ID: 4789593708
Enrollment ID: O20031111000542
Entity NameOlympic Anesthesia Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586125
PECOS PAC ID: 4587551064
Enrollment ID: O20040301000362
Entity NameJefferson County Public Hospital District No 2
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1356492953
PECOS PAC ID: 4789593708
Enrollment ID: O20080304000166
Entity NameWashington Gastroenterology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306364401
PECOS PAC ID: 6204194848
Enrollment ID: O20180103000884
Entity NameSilverdale Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598327322
PECOS PAC ID: 1850623653
Enrollment ID: O20191028003223

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. Matthew D Petta 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
Matthew D Petta, CRNA
628 Madison St,
Port Townsend, WA 98368-4414

Ph: (402) 990-0733		Matthew D Petta, CRNA
628 Madison St,
Port Townsend, WA 98368-4414

Ph: (402) 990-0733

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Port Townsend, WA

Patricia L Stanwood, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    Fax: 360-379-2242
Maria Packard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Kory M Albert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Mr. Gustavo Pena,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Brad T Walker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Colum Patrick Tinley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    

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.