Dr Eric Evan Petterson, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Shenandoah, Pennsylvania. His current practice location is
1 S Main St, Shenandoah, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 462-1040.
Dr Eric Evan Petterson is licensed to practice in Pennsylvania (license number MD039636L) 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 1245269547.
Physician's Profile
| Full Name | Dr Eric Evan Petterson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1 S Main St, Shenandoah, Pennsylvania |
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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 Eric Evan Petterson attended and graduated from in
NPI Data:
- NPI Number: 1245269547
- Provider Enumeration Date: 07/01/2006
- Last Update Date: 11/11/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Eric Evan Petterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245269547 | NPI | - | NPPES |
| 0010036980010 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD039636L (Pennsylvania) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | MD039636L (Pennsylvania) | Primary |
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 Eric Evan Petterson 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 Eric Evan Petterson, MD
411 W Pine St,
Mahanoy City, PA 17948-2515
Ph: (570) 462-1040 | Dr Eric Evan Petterson, MD
1 S Main St,
Shenandoah, PA 17976-2332
Ph: (570) 462-1040 |
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