Dr Mark A Petroff, MD in Lake Oswego, OR - Medicare Plastic Surgery

Dr Mark A Petroff, MD is a medicare enrolled "Plastic Surgery - Plastic Surgery Within The Head And Neck" physician in Lake Oswego, Oregon. His current practice location is 17720 Jean Way, Suite100, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 635-4886.

Dr Mark A Petroff is licensed to practice in Oregon (license number MD15996) 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 1528068129.

Contact Information

	Dr Mark A Petroff, MD
	17720 Jean Way, Suite100, Lake Oswego, OR 97035-5394
	(503) 635-4886
	(503) 635-1655

Map and Direction

Physician's Profile

Full Name	Dr Mark A Petroff
Gender	Male
Speciality	Plastic Surgery - Plastic Surgery Within The Head And Neck
Location	17720 Jean Way, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528068129
Provider Enumeration Date: 07/26/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3173419850
Enrollment ID: I20060123000014

Medical Identifiers

Medical identifiers for Dr Mark A Petroff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528068129	NPI	-	NPPES
MD15996	Other	OR	STATE LICENSE
069609	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2082S0099X	Plastic Surgery - Plastic Surgery Within The Head And Neck	MD15996 (Oregon)	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 Mark A Petroff allows following entities to bill medicare on his behalf.

Entity Name	Mark A Petroff Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144365941 PECOS PAC ID: 5890709059 Enrollment ID: O20060127000028

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 Mark A Petroff 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 Mark A Petroff, MD 17720 Jean Way, Suite100, Lake Oswego, OR 97035-5394 Ph: (503) 635-4886	Dr Mark A Petroff, MD 17720 Jean Way, Suite100, Lake Oswego, OR 97035-5394 Ph: (503) 635-4886

Reviews and Comments

Plastic Surgery Doctors in Lake Oswego, OR

Dr. Elisa A Burgess, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 16865 Boones Ferry Rd, Suite 101, Lake Oswego, OR 97035 Phone: 503-699-6464 Fax: 503-699-6939
Dr. Tuan Anh Nguyen, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 15820 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1955 Fax: 503-635-1958

Dr Mark A Petroff, MD - Medicare Plastic Surgery in Lake Oswego, OR