Dannel Karl Petgrave, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dawes, West Virginia. His current practice location is
5722 Cabin Creek Rd, Dawes, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 734-2040.
Dannel Karl Petgrave is licensed to practice in West Virginia (license number 1243) 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 1457892705.
Healthcare Provider's Profile
| Full Name | Dannel Karl Petgrave |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 5722 Cabin Creek Rd, Dawes, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457892705
- Provider Enumeration Date: 03/19/2017
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840624425
- Enrollment ID: I20200107003594
Medical Identifiers
Medical identifiers for Dannel Karl Petgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457892705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 1243 (West Virginia) | 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. Dannel Karl Petgrave allows following entities to bill medicare on his behalf.
| Entity Name | Cabin Creek Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
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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. Dannel Karl Petgrave 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 |
Dannel Karl Petgrave, PHD 5722 Cabin Creek Rd, Dawes, WV 25054-7700 Ph: () - | Dannel Karl Petgrave, PHD 5722 Cabin Creek Rd, Dawes, WV 25054 Ph: (304) 734-2040 |
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