Robert T Petruzzo Jr, DO - Medicare Diagnostic Radiology in San Diego, CA

Robert T Petruzzo Jr, DO is a medicare enrolled "Radiology - Body Imaging" physician in San Diego, California. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radadvantage A Professional Corporation and his current practice location is 4405 Vandever Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 528-5000.

Robert T Petruzzo Jr is licensed to practice in California (license number 20A4255) 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 1578615936.

Contact Information

Robert T Petruzzo Jr, DO
4405 Vandever Ave,
San Diego, CA 92120-3315
(619) 528-5000
Not Available

Map and Direction




Physician's Profile

Full NameRobert T Petruzzo Jr
GenderMale
SpecialityDiagnostic Radiology
Experience49 Years
Location4405 Vandever Ave, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert T Petruzzo Jr graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1578615936
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 04/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7012943681
  • Enrollment ID: I20050714000669

Medical Identifiers

Medical identifiers for Robert T Petruzzo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578615936NPI-NPPES
00AX42550MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 20A4255 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loma Linda University Medical Center-murrietaMurrieta, CAHospital
Mercy Medical CenterMerced, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radadvantage A Professional Corporation216359789969

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. Robert T Petruzzo Jr allows following entities to bill medicare on his behalf.
Entity NameHemet Valley Imaging Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558337444
PECOS PAC ID: 6103809322
Enrollment ID: O20040609001034
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameApex Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750650982
PECOS PAC ID: 7719140680
Enrollment ID: O20120514000416
Entity NameSeven Star Hospital Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043813140
PECOS PAC ID: 4789083338
Enrollment ID: O20210601002852

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. Robert T Petruzzo Jr 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
Robert T Petruzzo Jr, DO
1153 Pine Dr,
El Cajon, CA 92020-7248

Ph: (000) 000-0000
Robert T Petruzzo Jr, DO
4405 Vandever Ave,
San Diego, CA 92120-3315

Ph: (619) 528-5000

Reviews and Comments


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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.

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