Stephen Petrofsky, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Pt Charlotte, Florida. His current practice location is
2525 Harbor Blvd, Suite 206, Pt Charlotte, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 625-3330.
Stephen Petrofsky is licensed to practice in Florida (license number PO000791) 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 1821051160.
Healthcare Provider's Profile
| Full Name | Stephen Petrofsky |
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| Gender | Male |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 2525 Harbor Blvd, Pt Charlotte, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821051160
- Provider Enumeration Date: 04/08/2006
- Last Update Date: 04/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 1456355056
- Enrollment ID: I20101206000458
Medical Identifiers
Medical identifiers for Stephen Petrofsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821051160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | PO000791 (Florida) | 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. Stephen Petrofsky allows following entities to bill medicare on his behalf.
| Provider Name | Stephen Petrofsky Dpm Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063686756
PECOS PAC ID: 5799806816
Enrollment ID: O20101206000379 |
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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. Stephen Petrofsky 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 |
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Stephen Petrofsky, DPM
2525 Harbor Blvd, Suite 206,
Port Charlotte, FL 33952-5342
Ph: (941) 625-3330 | Stephen Petrofsky, DPM
2525 Harbor Blvd, Suite 206,
Pt Charlotte, FL 33952-5342
Ph: (941) 625-3330 |
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