Gabriella Petrongolo, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Jefferson University Physicians and her current practice location is
1015 Walnut St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 955-8363.
Gabriella Petrongolo is licensed to practice in * (Not Available) (license number ) 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 1891372579.
Physician's Profile
| Full Name | Gabriella Petrongolo |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 5 Years |
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| Location | 1015 Walnut St, Philadelphia, 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. |
Medical Education and Training:
- Gabriella Petrongolo attended and graduated from Philadelphia College Of Osteopathic Medicine in 2021
NPI Data:
- NPI Number: 1891372579
- Provider Enumeration Date: 03/27/2021
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002211638
- Enrollment ID: I20250903000350
Medical Identifiers
Medical identifiers for Gabriella Petrongolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891372579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QA0401X | Family Medicine - Addiction Medicine | OS023428 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Jefferson University Physicians | 7911819180 | 1569 |
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. Gabriella Petrongolo 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 |
Gabriella Petrongolo, DO 1200 Old York Rd, Abington, PA 19001-3788 Ph: (215) 481-2000 | Gabriella Petrongolo, DO 1015 Walnut St, Philadelphia, PA 19107-5005 Ph: (215) 955-8363 |
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