Dr Petra Danielisz, MD is a medicare enrolled "Internal Medicine" physician in Johnsonburg, Pennsylvania. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Upmc Kane and her current practice location is
81 Clarion Rd, Johnsonburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 389-4411.
Dr Petra Danielisz is licensed to practice in Pennsylvania (license number MD062597L) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376655456.
Physician's Profile
| Full Name | Dr Petra Danielisz |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 31 Years |
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| Location | 81 Clarion Rd, Johnsonburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She 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 Petra Danielisz graduated from medical school in 1993
NPI Data:
- NPI Number: 1376655456
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406896869
- Enrollment ID: I20050505000496
Medical Identifiers
Medical identifiers for Dr Petra Danielisz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376655456 | NPI | - | NPPES |
| 1007763960007 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD062597L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Upmc Kane | 7113814625 | 24 |
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 Petra Danielisz allows following entities to bill medicare on her behalf.
| Entity Name | Upmc Kane |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861478307
PECOS PAC ID: 7113814625
Enrollment ID: O20060811000340 |
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| Entity Name | Olean General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225083074
PECOS PAC ID: 9133111784
Enrollment ID: O20110202000149 |
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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 Petra Danielisz 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 |
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Dr Petra Danielisz, MD
161 Innsbruck Dr,
Emporium, PA 15834-3841
Ph: (814) 486-2046 | Dr Petra Danielisz, MD
81 Clarion Rd,
Johnsonburg, PA 15845-1656
Ph: (814) 389-4411 |
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