Dr Nicholas Ryan Petre, MD - Medicare Family Practice in East Moline, IL

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Dr Nicholas Ryan Petre, MD is a medicare enrolled "Family Medicine" physician in East Moline, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Stone Ridge Medical Group Sc and his current practice location is 306 46th Ave, East Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 796-2329.

Dr Nicholas Ryan Petre is licensed to practice in Illinois (license number 125.072248) 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 1699269308.

Contact Information

Dr Nicholas Ryan Petre, MD
306 46th Ave,
East Moline, IL 61244-4281
(309) 796-2329
(309) 796-1146

Map and Direction




Physician's Profile

Full NameDr Nicholas Ryan Petre
GenderMale
SpecialityFamily Practice
Experience8 Years
Location306 46th Ave, East Moline, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicholas Ryan Petre attended and graduated from Southern Illinois University School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1699269308
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 12/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6709136625
  • Enrollment ID: I20210726000217

Medical Identifiers

Medical identifiers for Dr Nicholas Ryan Petre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699269308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.072248 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stone Ridge Medical Group Sc87291425346

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 Nicholas Ryan Petre allows following entities to bill medicare on his behalf.
Entity NameMilan Medical Group, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346362589
PECOS PAC ID: 1951293562
Enrollment ID: O20040329000251
Entity NameStone Ridge Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306097894
PECOS PAC ID: 8729142534
Enrollment ID: O20090122000564

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 Nicholas Ryan Petre 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 Nicholas Ryan Petre, MD
306 46th Ave,
East Moline, IL 61244-4281

Ph: (309) 796-2329		Dr Nicholas Ryan Petre, MD
306 46th Ave,
East Moline, IL 61244-4281

Ph: (309) 796-2329

Reviews and Comments


Family Medicine Doctors in East Moline, IL

Dr. Nancy J Short, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4360 Kennedy Dr, Suite 1, East Moline, IL 61244
Phone: 309-743-7313    Fax: 309-765-7999
Anne M Petre, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 306 46th Ave, East Moline, IL 61244
Phone: 309-796-2329    Fax: 309-796-1146
James E Petre, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 306 46th Ave, East Moline, IL 61244
Phone: 309-796-2329    Fax: 309-796-1146
Dr. Anuradha Ranganath, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 708 15th Ave, East Moline, IL 61244
Phone: 563-336-3000    Fax: 563-336-3212

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.