Matthew J Petrilla, DO is a medicare enrolled "Family Medicine" physician in Sewanee, Tennessee. He went to Chicago College Of Osteopathy and graduated in 1979 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sewanee Family Practice Pllc and his current practice location is
1314 University Ave, Sewanee, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 598-5648.
Matthew J Petrilla is licensed to practice in Tennessee (license number 000713) 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 1811967532.
Physician's Profile
| Full Name | Matthew J Petrilla |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 47 Years |
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| Location | 1314 University Ave, Sewanee, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matthew J Petrilla attended and graduated from Chicago College Of Osteopathy in 1979
NPI Data:
- NPI Number: 1811967532
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 03/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 8224065115
- Enrollment ID: I20101019000408
Medical Identifiers
Medical identifiers for Matthew J Petrilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811967532 | NPI | - | NPPES |
| 1063817625 | Other | TN | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 000713 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sewanee Family Practice Pllc | 1951627900 | 2 |
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. Matthew J Petrilla allows following entities to bill medicare on his behalf.
| Entity Name | Sewanee Family Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063817625
PECOS PAC ID: 1951627900
Enrollment ID: O20150310001114 |
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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. Matthew J Petrilla 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 |
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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 |
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