Steven John Petrakis, MD in Dulce, NM - Medicare Family Medicine

Steven John Petrakis, MD is a medicare enrolled "Family Medicine" physician in Dulce, New Mexico. His current practice location is 500 North Mundo, Dulce, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 759-3291.

Steven John Petrakis is licensed to practice in New Mexico (license number NM96-117) 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 1265591606.

Contact Information

	Steven John Petrakis, MD
	500 North Mundo, Dulce, NM 87528-2725
	(575) 759-3291
	(575) 759-7294

Map and Direction

Physician's Profile

Full Name	Steven John Petrakis
Gender	Male
Speciality	Family Medicine
Location	500 North Mundo, Dulce, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265591606
Provider Enumeration Date: 12/08/2006
Last Update Date: 08/11/2011

Medicare PECOS Information:

PECOS PAC ID: 1557545126
Enrollment ID: I20110405001003

Medical Identifiers

Medical identifiers for Steven John Petrakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265591606	NPI	-	NPPES
8HN067	Other	NM	MEDICARE PTAN #
K3526	Medicaid	NM
000S5584	Other	NM	MEDICAID PROVIDER #
HSZ196	Other	NM	MEDICARE PART B #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	NM96-117 (New Mexico)	Primary

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. Steven John Petrakis allows following entities to bill medicare on his behalf.

Entity Name	Dulce Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750388963 PECOS PAC ID: 7012991839 Enrollment ID: O20040617000747

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. Steven John Petrakis 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
Steven John Petrakis, MD 500 North Mundo, Dulce, NM 87528-1010 Ph: (575) 759-3291	Steven John Petrakis, MD 500 North Mundo, Dulce, NM 87528-2725 Ph: (575) 759-3291

Reviews and Comments

Family Medicine Doctors in Dulce, NM

Sirpa T. Autio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532
Ms. Jennifer Lea Lea Claycomb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532
Dr. Joan E Kandel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Medicine Way, Dulce, NM 87528 Phone: 505-360-5995
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291
Steven Paul Gross, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7232 Fax: 575-759-7294
Dr. Raquel Irene Cisneros, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N. Mundo Dr., Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294

Steven John Petrakis, MD - Medicare Family Medicine in Dulce, NM