Edwin Petrossian, MD in Stanford, CA

Edwin Petrossian, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Stanford, California. His current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Edwin Petrossian is licensed to practice in California (license number G81847) 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 1336160860.

Contact Information

	Edwin Petrossian, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Edwin Petrossian
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336160860
Provider Enumeration Date: 07/21/2006
Last Update Date: 01/13/2010

Medicare PECOS Information:

PECOS PAC ID: 4082711262
Enrollment ID: I20070523000195

Medical Identifiers

Medical identifiers for Edwin Petrossian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336160860	NPI	-	NPPES
00G818470	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	G81847 (California)	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. Edwin Petrossian allows following entities to bill medicare on his behalf.

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Edwin Petrossian 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
Edwin Petrossian, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: () -	Edwin Petrossian, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Pediatrics Doctors in Stanford, CA

Crystal Mackall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 265 Campus Dr, G3141a, Mc5456, Stanford, CA 94305 Phone: 650-725-2553
Kathryn Gopez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103
Dr. Kathleen Gutierrez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5682 Fax: 650-725-8040
Dr. Rajni Agarwal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Peds Phys Billing Mc 5530, Stanford, CA 94305 Phone: 650-498-7391
Dr. Alma D Erice-taganas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Room H310 Mc5530, Stanford, CA 94305 Phone: 650-498-7391 Fax: 650-725-7888
David A Stevenson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr # H315, Stanford, CA 94305 Phone: 650-736-7696
Brittany Rae Boswell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000

Edwin Petrossian, MD - Medicare Pediatrics in Stanford, CA