| Matthew J Petrilla, DO | |
|
1314 University Ave, Sewanee, TN 37375-2303 | |
| (931) 598-5648 | |
| (931) 598-0778 |
| Full Name | Matthew J Petrilla |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 1314 University Ave, Sewanee, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811967532 | NPI | - | NPPES |
| 1063817625 | Other | TN | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000713 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Care | Winchester, TN | Home health agency |
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sewanee Family Practice Pllc | 1951627900 | 2 |
| Entity Name | Sewanee Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063817625 PECOS PAC ID: 1951627900 Enrollment ID: O20150310001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Petrilla, DO Po Box 700, Sewanee, TN 37375-0700 Ph: (931) 598-5648 | Matthew J Petrilla, DO 1314 University Ave, Sewanee, TN 37375-2303 Ph: (931) 598-5648 |
Karen M Gilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 University Ave, Sewanee, TN 37375 Phone: 931-598-4141 Fax: 931-598-5198 | |
Louis E Koella, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1314 University Ave, Sewanee, TN 37375 Phone: 931-598-5648 Fax: 931-598-9984 |