Dr Victor M Petriella, DMD - Medicare Dentist in South Orange, NJ

Dr Victor M Petriella, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in South Orange, New Jersey. His current practice location is 177 Irvington Ave, South Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 762-5773.

Dr Victor M Petriella is licensed to practice in New Jersey (license number 08898) 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 1093763724.

Contact Information

Dr Victor M Petriella, DMD
177 Irvington Ave,
South Orange, NJ 07079-2264
(973) 762-5773
(973) 762-5003

Map and Direction




Healthcare Provider's Profile

Full NameDr Victor M Petriella
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location177 Irvington Ave, South Orange, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093763724
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4284772567
  • Enrollment ID: I20091106000014

Medical Identifiers

Medical identifiers for Dr Victor M Petriella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093763724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 08898 (New Jersey)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 Victor M Petriella allows following entities to bill medicare on his behalf.
Entity NameRutgers Health - University Dental Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346454584
PECOS PAC ID: 7113811837
Enrollment ID: O20040212000116

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 Victor M Petriella 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
Dr Victor M Petriella, DMD
177 Irvington Ave,
South Orange, NJ 07079-2264

Ph: (973) 762-5773
Dr Victor M Petriella, DMD
177 Irvington Ave,
South Orange, NJ 07079-2264

Ph: (973) 762-5773

Reviews and Comments


Dentist in South Orange, NJ

Davia D. Strachan, D.D.S.
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Practice Location: 481 S Orange Ave, South Orange, NJ 07079
Phone: 973-762-2660    
Dr. Carol E Mann, D.M.D.
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Medicare: Medicare Enrolled
Practice Location: 202 S Orange Ave, South Orange, NJ 07079
Phone: 973-761-7003    
Ronald Kurlan, D.M.D.
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Practice Location: 45 Prospect St, South Orange, NJ 07079
Phone: 973-763-2940    
Haniel Chyler Rosemond, D.D.S., F.A.G.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 481 S Orange Ave, South Orange, NJ 07079
Phone: 973-762-2660    Fax: 973-762-5473
Dr. Kevin Darnell Johnson, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 71 Valley St, Suite103, South Orange, NJ 07079
Phone: 973-378-2070    
Dr. William E Rockson, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 129 2nd St, South Orange, NJ 07079
Phone: 973-762-0808    Fax: 973-762-0767

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.