Dr David Petrosian, DO is a medicare enrolled "Family Medicine" physician in Tioga, North Dakota. His current practice location is
810 N Welo St, Tioga, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 664-3305.
Dr David Petrosian is licensed to practice in North Dakota (license number PT22791) 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 1881155745.
Physician's Profile
| Full Name | Dr David Petrosian |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 810 N Welo St, Tioga, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881155745
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062861727
- Enrollment ID: I20231207000955
Medical Identifiers
Medical identifiers for Dr David Petrosian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881155745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 323480 (New York) | Secondary |
| 207Q00000X | Family Medicine | 1024538 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | PT22791 (North Dakota) | 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 David Petrosian allows following entities to bill medicare on his behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235 |
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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 David Petrosian 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 David Petrosian, DO
810 N Welo St,
Tioga, ND 58852-7157
Ph: (701) 664-3368 | Dr David Petrosian, DO
810 N Welo St,
Tioga, ND 58852-7157
Ph: (701) 664-3305 |
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