Ekaterina Nikolaevna Petrova, MD in Modesto, CA

Ekaterina Nikolaevna Petrova, MD is a medicare enrolled "Pediatrics" physician in Modesto, California. Her current practice location is 1510 Florida Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 549-7090.

Ekaterina Nikolaevna Petrova is licensed to practice in California (license number A127080) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265750129.

Contact Information

	Ekaterina Nikolaevna Petrova, MD
	1510 Florida Ave, Modesto, CA 95350-4437
	(209) 549-7090
	(209) 549-7099

Map and Direction

Physician's Profile

Full Name	Ekaterina Nikolaevna Petrova
Gender	Female
Speciality	Pediatrics
Location	1510 Florida Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265750129
Provider Enumeration Date: 05/17/2010
Last Update Date: 03/09/2017

Medicare PECOS Information:

PECOS PAC ID: 6103942487
Enrollment ID: I20161213001625

Medical Identifiers

Medical identifiers for Ekaterina Nikolaevna Petrova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265750129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	042-0011975 (Vermont)	Secondary
208000000X	Pediatrics	A127080 (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. Ekaterina Nikolaevna Petrova allows following entities to bill medicare on her behalf.

Entity Name	Golden Valley Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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. Ekaterina Nikolaevna Petrova 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
Ekaterina Nikolaevna Petrova, MD 737 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 384-6493	Ekaterina Nikolaevna Petrova, MD 1510 Florida Ave, Modesto, CA 95350-4437 Ph: (209) 549-7090

Reviews and Comments

Pediatrics Doctors in Modesto, CA

Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323
Dr. Mary Jessie Sumithra, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-1630
Dena Ann Lenser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3109 Coffee Rd, Ste A, Modesto, CA 95355 Phone: 209-522-0001 Fax: 209-549-7077
Arlaine B Gutierrez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744
Rabia Formoli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000

Ekaterina Nikolaevna Petrova, MD - Medicare Pediatrics in Modesto, CA