Dr Anthony Rocco Petito, DDS, MD in East Providence, RI - Medicare Oral & Maxillofacial Surgery Provider

Dr Anthony Rocco Petito, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in East Providence, Rhode Island. His current practice location is 400 Massasoit Ave, Suite 103, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 919-5560.

Dr Anthony Rocco Petito is licensed to practice in Rhode Island (license number MD09730) 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 1760430730.

Contact Information

	Dr Anthony Rocco Petito, DDS, MD
	400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012
	(401) 919-5560
	(401) 919-5740

Healthcare Provider's Profile

Full Name	Dr Anthony Rocco Petito
Gender	Male
Speciality	Oral & Maxillofacial Surgery
Location	400 Massasoit Ave, East Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760430730
Provider Enumeration Date: 05/04/2006
Last Update Date: 03/01/2012

Medicare PECOS Information:

PECOS PAC ID: 7416922737
Enrollment ID: I20161101000236

Medical Identifiers

Medical identifiers for Dr Anthony Rocco Petito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760430730	NPI	-	NPPES
7006548	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	02552 (Rhode Island)	Secondary
204E00000X	Oral & Maxillofacial Surgery	MD09730 (Rhode Island)	Primary

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. Dr Anthony Rocco Petito 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
Dr Anthony Rocco Petito, DDS, MD 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012 Ph: (401) 919-5560	Dr Anthony Rocco Petito, DDS, MD 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012 Ph: (401) 919-5560

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Dr Anthony Rocco Petito, DDS, MD - Medicare in East Providence, RI