Mr Andrew G Petlock, PA - Medicare Physician Assistant in Hudson, MA

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Mr Andrew G Petlock, PA is a medicare enrolled "Physician Assistant" in Hudson, Massachusetts. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Kablotsky Internal Medicine Pllc, Carewell Urgent Care Centers Of Ma, Pc and his current practice location is 1 Cabot Rd Ste 101, Hudson, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 562-3536.

Mr Andrew G Petlock is licensed to practice in NU (license number ) 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 1972381077.

Contact Information

Mr Andrew G Petlock, PA
1 Cabot Rd Ste 101,
Hudson, MA 01749-2963
(978) 562-3536
(978) 562-4626

Map and Direction




Provider's Profile

Full NameMr Andrew G Petlock
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location1 Cabot Rd Ste 101, Hudson, Massachusetts
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:
  • Mr Andrew G Petlock graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1972381077
  • Provider Enumeration Date: 09/19/2023
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870025208
  • Enrollment ID: I20241010001126

Medical Identifiers

Medical identifiers for Mr Andrew G Petlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972381077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marlborough HospitalMarlborough, MAHospital
Winchester HospitalWinchester, MAHospital
Umass Memorial Medical Center IncWorcester, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kablotsky Internal Medicine Pllc81235438817
Carewell Urgent Care Centers Of Ma, Pc761812447048

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 Andrew G Petlock allows following entities to bill medicare on his behalf.
Entity NameCarewell Urgent Care Centers of Ma, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740543214
PECOS PAC ID: 7618124470
Enrollment ID: O20120829000745
Entity NameCharles River Medical Associates, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598215204
PECOS PAC ID: 3476630450
Enrollment ID: O20161122000110
Entity NameKablotsky Internal Medicine PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841096815
PECOS PAC ID: 8123543881
Enrollment ID: O20250416000339

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 Andrew G Petlock 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
Mr Andrew G Petlock, PA
171 Main St Ste 203b,
Ashland, MA 01721-1187

Ph: (508) 881-3029		Mr Andrew G Petlock, PA
1 Cabot Rd Ste 101,
Hudson, MA 01749-2963

Ph: (978) 562-3536

Reviews and Comments


Physician Assistant Nurses in Hudson, MA

Nanar Meguerian, MSPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 157 Washington St, Hudson, MA 01749
Phone: 978-562-0564    Fax: 978-562-5646
Jerry G. Cardillo, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 234 Washington Street, Hudson, MA 01749
Phone: 508-595-2700    Fax: 508-221-5136
Julie Gilman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 Coolidge St, Downstairs, Hudson, MA 01749
Phone: 978-562-0757    Fax: 978-562-9299
Indira Rezende Souza,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 33 Pleasant St, Hudson, MA 01749
Phone: 929-687-7971    
Kanwon Shaw, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cabot Rd Ste 101, Hudson, MA 01749
Phone: 978-562-3536    Fax: 978-562-4626
Ms. Amy Meggan Pinkham, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4 Main St., Apt. 2, Hudson, MA 01749
Phone: 978-835-6212    
Mrs. Kristin L Schmitt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 157 Washington St, Hudson, MA 01749
Phone: 978-562-0564    Fax: 978-562-5646

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.