Mark H Petry, MD - Medicare Family Practice in Sandstone, MN

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Mark H Petry, MD is a medicare enrolled "Family Medicine" physician in Sandstone, Minnesota. He went to University Of Minnesota Medical School and graduated in 2005 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Polinsky Medical Rehabilitation Center, Gateway Family Health Clinic, Ltd. and his current practice location is 204 Lundorff Dr, Sandstone, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 245-2250.

Mark H Petry is licensed to practice in Minnesota (license number 48729) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487668034.

Contact Information

Mark H Petry, MD
204 Lundorff Dr,
Sandstone, MN 55072-5051
(320) 245-2250
(320) 245-2555

Map and Direction




Physician's Profile

Full NameMark H Petry
GenderMale
SpecialityFamily Practice
Experience20 Years
Location204 Lundorff Dr, Sandstone, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark H Petry attended and graduated from University Of Minnesota Medical School in 2005
  NPI Data:
  • NPI Number: 1487668034
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 01/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0345243671
  • Enrollment ID: I20060807000141

Medical Identifiers

Medical identifiers for Mark H Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487668034NPI-NPPES
01-25350OtherMNMEDICA
153H5PEOtherMNBCBSMN
P00440553OtherRR MEDICARE PTAN
602643000MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 48729 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adara Home Health IncBuffalo, MNHome health agency
Essentia Health SandstoneSandstone, MNHospital
Essentia Health Moose LakeMoose lake, MNHospital
Sandstone Health Care CenterSandstone, MNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Polinsky Medical Rehabilitation Center0941377360242
Gateway Family Health Clinic, Ltd.630575865718

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. Mark H Petry allows following entities to bill medicare on his behalf.
Entity NameGateway Family Health Clinic, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891748042
PECOS PAC ID: 6305758657
Enrollment ID: O20031104000556
Entity NamePine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326041633
PECOS PAC ID: 3870406945
Enrollment ID: O20031106000272
Entity NamePine Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1205043841
PECOS PAC ID: 3870406945
Enrollment ID: O20080430000545

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. Mark H 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 AddressPractice Location Address
Mark H Petry, MD
204 Lundorff Dr,
Sandstone, MN 55072-5051

Ph: (320) 245-2250		Mark H Petry, MD
204 Lundorff Dr,
Sandstone, MN 55072-5051

Ph: (320) 245-2250

Reviews and Comments


Family Medicine Doctors in Sandstone, MN

Ryan Mark Harden, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 204 Lundorff Dr, Sandstone, MN 55072
Phone: 320-245-2250    Fax: 320-245-2555
Dr. Daniel P. Benzie, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 204 Lundorff Dr, Sandstone, MN 55072
Phone: 320-245-2250    Fax: 320-245-2555
Nick M. Taurinskas, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 204 Lundorff Dr, Sandstone, MN 55072
Phone: 320-245-2250    Fax: 320-245-2555

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.