Michael Petrides, - Medicare Radiology in Philadelphia, PA

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Michael Petrides, is a medicare enrolled "Radiology - Nuclear Radiology" physician in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce Street, 1 Silverstein, Suite 130, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-6918.

Michael Petrides is licensed to practice in Pennsylvania (license number MT223806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609221969.

Contact Information

Michael Petrides,
3400 Spruce Street, 1 Silverstein, Suite 130,
Philadelphia, PA 19104
(215) 662-6918
(215) 662-2664

Map and Direction




Physician's Profile

Full NameMichael Petrides
GenderMale
SpecialityRadiology - Nuclear Radiology
Location3400 Spruce Street, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609221969
  • Provider Enumeration Date: 04/25/2016
  • Last Update Date: 07/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406140987
  • Enrollment ID: I20220816001938

Medical Identifiers

Medical identifiers for Michael Petrides such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609221969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0904XRadiology - Nuclear Radiology MT223806 (Pennsylvania)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Michael Petrides allows following entities to bill medicare on his behalf.
Entity NameEvergreen Radia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20220627001586
Entity NameSwedish Radia Imaging Center At Edmonds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20220627001939
Entity NameRadia Imaging Center Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639653017
PECOS PAC ID: 6305182965
Enrollment ID: O20220629002176
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20220728003550
Entity NameSouth Sound Radiologists Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902990500
PECOS PAC ID: 1254229305
Enrollment ID: O20220801002920
Entity NameMedford Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407938111
PECOS PAC ID: 2062303324
Enrollment ID: O20230310002121
Entity NameRedwood Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326461708
PECOS PAC ID: 7214168095
Enrollment ID: O20230421001689
Entity NameRadia California Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740982032
PECOS PAC ID: 8921465998
Enrollment ID: O20230801004436
Entity NameRadia Oregon Radiology Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073385423
PECOS PAC ID: 2961852637
Enrollment ID: O20240129002187

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 Petrides 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
Michael Petrides,
3400 Spruce Street, 1 Silverstein, Suite 130,
Philadelphia, PA 19104

Ph: (215) 662-6918		Michael Petrides,
3400 Spruce Street, 1 Silverstein, Suite 130,
Philadelphia, PA 19104

Ph: (215) 662-6918

Reviews and Comments


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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.