Mike Petagna, LPC in Avondale, AZ - Medicare Counselor Provider

Mike Petagna, LPC is a medicare enrolled "Counselor - Professional" provider in Avondale, Arizona. His current practice location is 824 N 99th Ave Ste 107-108, Avondale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 907-1457.

Mike Petagna is licensed to practice in Arizona (license number 19678) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831784115.

Contact Information

	Mike Petagna, LPC
	824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324
	(623) 907-1457
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mike Petagna
Gender	Male
Speciality	Counselor - Professional
Location	824 N 99th Ave Ste 107-108, Avondale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831784115
Provider Enumeration Date: 03/08/2021
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2163874421
Enrollment ID: I20240123000949

Medical Identifiers

Medical identifiers for Mike Petagna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831784115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	19678 (Arizona)	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. Mike Petagna allows following entities to bill medicare on his behalf.

Entity Name	Community Bridges Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388

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. Mike Petagna 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
Mike Petagna, LPC 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 Ph: (480) 831-7566	Mike Petagna, LPC 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 Ph: (623) 907-1457

Reviews and Comments

Counselor in Avondale, AZ

Ms. Margaret Frances Bauman, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Ste. G-7024, Avondale, AZ 85392 Phone: 602-258-6797 Fax: 623-936-4085
Dominiqiue Janay Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189
Danielle Spies, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189
Deja Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 480-674-7618
Christiana Mcallister, Counselor Medicare: Medicare Enrolled Practice Location: 950 E Van Buren St, Avondale, AZ 85323 Phone: 623-687-1199
Erin Hammit, LPC Counselor Medicare: Medicare Enrolled Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373 Fax: 602-230-3086
Precious Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189

Mike Petagna, LPC - Medicare Counselor in Avondale, AZ