Adam Harrison Petrovich, in Broomfield, CO - Medicare Nurse Practitioner

Adam Harrison Petrovich, is a medicare enrolled "Nurse Practitioner" in Broomfield, Colorado. His current practice location is 3576 Cascade Ct, Broomfield, Colorado. You can reach out to his office (for appointments etc.) via phone at (630) 885-0906.

Adam Harrison Petrovich is licensed to practice in Colorado (license number AG11230017) 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 1447015326.

Contact Information

	Adam Harrison Petrovich,
	3576 Cascade Ct, Broomfield, CO 80020-6501
	(630) 885-0906
	Not Available

Map and Direction

Provider's Profile

Full Name	Adam Harrison Petrovich
Gender	Male
Speciality	Nurse Practitioner
Location	3576 Cascade Ct, Broomfield, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447015326
Provider Enumeration Date: 02/19/2024
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7618313891
Enrollment ID: I20240311000845

Medical Identifiers

Medical identifiers for Adam Harrison Petrovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447015326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AG11230017 (Colorado)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AG11230017 (Colorado)	Secondary
363L00000X	Nurse Practitioner	AG11230017 (Colorado)	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. Adam Harrison Petrovich allows following entities to bill medicare on his behalf.

Entity Name	Physician Housecalls Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295789824 PECOS PAC ID: 0840212809 Enrollment ID: O20051219001031

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. Adam Harrison Petrovich 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
Adam Harrison Petrovich, 3576 Cascade Ct, Broomfield, CO 80020-6501 Ph: (630) 885-0906	Adam Harrison Petrovich, 3576 Cascade Ct, Broomfield, CO 80020-6501 Ph: (630) 885-0906

Reviews and Comments

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Nathan Thomas Bucci, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827

Adam Harrison Petrovich, - Medicare Nurse Practitioner in Broomfield, CO