Dr Lido L Petrucci, DC is a medicare enrolled "Chiropractor" provider in Lagrange, Kentucky. He went to Logan College Of Chiropractic and graduated in 1995 and has 31 years of diverse experience with area of expertise as Chiropractic. His current practice location is
301 S 1st St, Lagrange, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 222-0000.
Dr Lido L Petrucci is licensed to practice in Kentucky (license number 4315) 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 1336243971.
Healthcare Provider's Profile
| Full Name | Dr Lido L Petrucci |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 31 Years |
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| Location | 301 S 1st St, Lagrange, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lido L Petrucci attended and graduated from Logan College Of Chiropractic in 1995
NPI Data:
- NPI Number: 1336243971
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 11/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375442064
- Enrollment ID: I20060111000982
Medical Identifiers
Medical identifiers for Dr Lido L Petrucci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336243971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4315 (Kentucky) | 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. Dr Lido L Petrucci allows following entities to bill medicare on his behalf.
| Provider Name | Oldham County Spine & Rehab Center PSC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689851602
PECOS PAC ID: 7012083116
Enrollment ID: O20080912000457 |
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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. Dr Lido L Petrucci 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 |
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Dr Lido L Petrucci, DC
301 S 1st St,
Lagrange, KY 40031-1240
Ph: (502) 222-0000 | Dr Lido L Petrucci, DC
301 S 1st St,
Lagrange, KY 40031-1240
Ph: (502) 222-0000 |
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