Dale A Petroff, PA - Medicare Physician Assistant in Syracuse, NY

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Dale A Petroff, PA is a medicare enrolled "Physician Assistant - Medical" in Syracuse, New York. His current practice location is 750 E Adams St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-5612.

Dale A Petroff is licensed to practice in New York (license number 003830) 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 1952395188.

Contact Information

Dale A Petroff, PA
750 E Adams St,
Syracuse, NY 13210-2306
(315) 464-5612
(315) 464-6520

Map and Direction




Provider's Profile

Full NameDale A Petroff
GenderMale
SpecialityPhysician Assistant - Medical
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952395188
  • Provider Enumeration Date: 09/02/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1153596085
  • Enrollment ID: I20111205000664

Medical Identifiers

Medical identifiers for Dale A Petroff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952395188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 003830 (New York)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. Dale A Petroff allows following entities to bill medicare on his behalf.
Entity NameSuny Health Science Center at Syracuse
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420
Entity NameRiver Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003814641
PECOS PAC ID: 2567372899
Enrollment ID: O20040614001352
Entity NameDelphi Hospitalist Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922270420
PECOS PAC ID: 5395819478
Enrollment ID: O20080807000352
Entity NameDelphi Healthcare PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003075029
PECOS PAC ID: 9537229661
Enrollment ID: O20081119000839

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. Dale A Petroff 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
Dale A Petroff, PA
4549 Summerfield Dr,
Cazenovia, NY 13035-9766

Ph: (315) 655-9089		Dale A Petroff, PA
750 E Adams St,
Syracuse, NY 13210-2306

Ph: (315) 464-5612

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.