Mr James H Petrin, MD is a medicare enrolled "Dermatology" physician in Redmond, Washington. He went to University Of Washington School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Sound Dermatology And Skin Surgery Pllc and his current practice location is
8301 161st Ave Ne Ste 108, Redmond, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 485-7985.
Mr James H Petrin is licensed to practice in Washington (license number MD00035810) 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 1316948904.
Physician's Profile
| Full Name | Mr James H Petrin |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 30 Years |
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| Location | 8301 161st Ave Ne Ste 108, Redmond, Washington |
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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:
- Mr James H Petrin attended and graduated from University Of Washington School Of Medicine in 1994
NPI Data:
- NPI Number: 1316948904
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769435924
- Enrollment ID: I20050228000708
Medical Identifiers
Medical identifiers for Mr James H Petrin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316948904 | NPI | - | NPPES |
| 128869 | Other | WA | DEPT OF L&I |
| 7136443 | Medicaid | WA | |
| 53030 | Other | WA | DEPT OF L&I GROUP |
| 8228371 | Medicaid | WA | |
| 7095656 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NS0135X | Dermatology - Procedural Dermatology | MD00035810 (Washington) | Secondary |
| 207N00000X | Dermatology | MD00035810 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sound Dermatology And Skin Surgery Pllc | 8123125002 | 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. Mr James H Petrin allows following entities to bill medicare on his behalf.
| Entity Name | The Association Of University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023041159
PECOS PAC ID: 0446162697
Enrollment ID: O20031105000244 |
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| Entity Name | Sound Dermatology & Skin Surgery Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538386990
PECOS PAC ID: 8123125002
Enrollment ID: O20070530000204 |
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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. Mr James H Petrin 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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Mr James H Petrin, MD
8301 161st Ave Ne Ste 108,
Redmond, WA 98052-3858
Ph: (425) 485-7985 | Mr James H Petrin, MD
8301 161st Ave Ne Ste 108,
Redmond, WA 98052-3858
Ph: (425) 485-7985 |
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