Mark Petruzziello, MD - Medicare General Surgery in Tarboro, NC

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Mark Petruzziello, MD is a medicare enrolled "Surgery" physician in Tarboro, North Carolina. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Vidant Medical Group Llc and his current practice location is 101 Clinic Dr, Tarboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 823-2105.

Mark Petruzziello is licensed to practice in North Carolina (license number 200001243) 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 1336129535.

Contact Information

Mark Petruzziello, MD
101 Clinic Dr,
Tarboro, NC 27886-1935
(252) 823-2105
Not Available

Map and Direction




Physician's Profile

Full NameMark Petruzziello
GenderMale
SpecialityGeneral Surgery
Experience32 Years
Location101 Clinic Dr, Tarboro, North Carolina
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 Petruzziello graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1336129535
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 01/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739269101
  • Enrollment ID: I20091221000480

Medical Identifiers

Medical identifiers for Mark Petruzziello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336129535NPI-NPPES
1756614OtherNCUNITED HEALTHCARE
A1917OtherNCMEDCOST
020047543OtherNCRAILROAD MEDICARE
89127R6MedicaidNC
127R6OtherNCBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 200001243 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vidant Edgecombe HospitalTarboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vidant Medical Group Llc0345343893849

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 Petruzziello allows following entities to bill medicare on his behalf.
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameTarboro Endoscopy Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1598093007
PECOS PAC ID: 2668507328
Enrollment ID: O20100319000301

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 Petruzziello 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 Petruzziello, MD
101 Clinic Dr,
Tarboro, NC 27886-1935

Ph: (252) 823-2105		Mark Petruzziello, MD
101 Clinic Dr,
Tarboro, NC 27886-1935

Ph: (252) 823-2105

Reviews and Comments


Surgery Doctors in Tarboro, NC

Dr. Bradford Karsten Bilicki, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Clinic Dr, Tarboro, NC 27886
Phone: 252-823-2105    
Raghid Bitar, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Clinic Drive, Tarboro, NC 27886
Phone: 252-823-2105    
Charles Middleton, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 101 Clinic Dr, Tarboro, NC 27886
Phone: 252-823-2105    

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.