Michael Allen Petrelli, DO is a
Preventive Medicine - Aerospace Medicine physician based in Point Mugu Nawc, California. Michael Allen Petrelli is licensed to practice in California (license number 22738) and his current practice location is 1 Dispensary Road, Point Mugu Nawc, California. He can be reached at his office (for appointments etc.) via phone at
(805) 989-8815.
NPI number for Michael Allen Petrelli is 1184264780 and his current mailing address is 1 Dispensary Road, Point Mugu Nawc, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184264780.
Physician's Profile
| Full Name | Michael Allen Petrelli |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 1 Dispensary Road, Point Mugu Nawc, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184264780
- Provider Enumeration Date: 01/10/2020
- Last Update Date: 09/10/2024
Medical Identifiers
Medical identifiers for Michael Allen Petrelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184264780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 009132 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 22738 (California) | Primary |
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. Michael Allen Petrelli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Allen Petrelli, DO
1 Dispensary Road,
Point Mugu Nawc, CA 93042-5017
Ph: (805) 989-7213 | Michael Allen Petrelli, DO
1 Dispensary Road,
Point Mugu Nawc, CA 93042-0001
Ph: (805) 989-8815 |
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