Dr Clarence Rolland Petrie, MD in Fullerton, CA

Dr Clarence Rolland Petrie, MD is a medicare enrolled "Surgery" physician in Fullerton, California. His current practice location is 1837 Sunnycrest Dr, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 446-6653.

Dr Clarence Rolland Petrie is licensed to practice in California (license number A32946) 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 1902842990.

Contact Information

	Dr Clarence Rolland Petrie, MD
	1837 Sunnycrest Dr, Fullerton, CA 92835-3616
	(714) 446-6653
	(714) 446-6666

Map and Direction

Physician's Profile

Full Name	Dr Clarence Rolland Petrie
Gender	Male
Speciality	Surgery
Location	1837 Sunnycrest Dr, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902842990
Provider Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062670706
Enrollment ID: I20120227000187

Medical Identifiers

Medical identifiers for Dr Clarence Rolland Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902842990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A32946 (California)	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 Clarence Rolland Petrie allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	National Ambulatory Hernia Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124150768 PECOS PAC ID: 4385682293 Enrollment ID: O20050421000278

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 Clarence Rolland Petrie 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
Dr Clarence Rolland Petrie, MD 1837 Sunnycrest Dr, Fullerton, CA 92835-3616 Ph: (714) 446-6653	Dr Clarence Rolland Petrie, MD 1837 Sunnycrest Dr, Fullerton, CA 92835-3616 Ph: (714) 446-6653

Reviews and Comments

Surgery Doctors in Fullerton, CA

Dr. Courtney Anne Vito, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 33001, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-665-4690
Michael Tsinberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659
Dong Hum Yoon, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249
John Nastasi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835 Phone: 714-778-1032
Dr. Robert Emmitt Mccoy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835 Phone: 714-446-5260 Fax: 714-446-5265
George Pisimisis, MD Surgery Medicare: Medicare Enrolled Practice Location: 2720 N Harbor Blvd Ste 140, Fullerton, CA 92835 Phone: 657-566-8800 Fax: 657-566-8810
Robina Michelle Smith, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2151 N Harbor Blvd, Suite 3100, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-446-5240

Dr Clarence Rolland Petrie, MD - Medicare Surgery in Fullerton, CA