Dr Robert W Petry, MD is a medicare enrolled "Allergy & Immunology" physician in Columbus, Indiana. His current practice location is
815 Schnier St, Columbus, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 378-3131.
Dr Robert W Petry is licensed to practice in Indiana (license number 01027846A) 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 1043239684.
Physician's Profile
| Full Name | Dr Robert W Petry |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 815 Schnier St, Columbus, Indiana |
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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: 1043239684
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 12/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618062944
- Enrollment ID: I20100909000763
Medical Identifiers
Medical identifiers for Dr Robert W Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043239684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 01027846A (Indiana) | Secondary |
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | 01027846A (Indiana) | Secondary |
| 207K00000X | Allergy & Immunology | 01027846A (Indiana) | 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 Robert W Petry allows following entities to bill medicare on his behalf.
| Entity Name | Allergy Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740494079
PECOS PAC ID: 3173618402
Enrollment ID: O20071002000611 |
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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 Robert W Petry 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 Robert W Petry, MD
Po Box 2173,
Skyland, NC 28776-2173
Ph: (828) 575-2625 | Dr Robert W Petry, MD
815 Schnier St,
Columbus, IN 47201-2619
Ph: (812) 378-3131 |
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