Dr Mark A Petroff, MD - Medicare Plastic Surgery in Lake Oswego, OR

Dr Mark A Petroff, MD is a medicare enrolled "Plastic Surgery - Plastic Surgery Within The Head And Neck" physician in Lake Oswego, Oregon. His current practice location is 17720 Jean Way, Suite100, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 635-4886.

Dr Mark A Petroff is licensed to practice in Oregon (license number MD15996) 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 1528068129.

Contact Information

Dr Mark A Petroff, MD
17720 Jean Way, Suite100,
Lake Oswego, OR 97035-5394
(503) 635-4886
(503) 635-1655



Physician's Profile

Full NameDr Mark A Petroff
GenderMale
SpecialityPlastic Surgery - Plastic Surgery Within The Head And Neck
Location17720 Jean Way, Lake Oswego, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528068129
  • Provider Enumeration Date: 07/26/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173419850
  • Enrollment ID: I20060123000014

Medical Identifiers

Medical identifiers for Dr Mark A Petroff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528068129NPI-NPPES
MD15996OtherORSTATE LICENSE
069609MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck MD15996 (Oregon)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. Dr Mark A Petroff allows following entities to bill medicare on his behalf.
Entity NameMark A Petroff Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144365941
PECOS PAC ID: 5890709059
Enrollment ID: O20060127000028

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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. Dr Mark 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
Dr Mark A Petroff, MD
17720 Jean Way, Suite100,
Lake Oswego, OR 97035-5394

Ph: (503) 635-4886
Dr Mark A Petroff, MD
17720 Jean Way, Suite100,
Lake Oswego, OR 97035-5394

Ph: (503) 635-4886

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Plastic Surgery Doctors in Lake Oswego, OR

Dr. Elisa A Burgess, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 16865 Boones Ferry Rd, Suite 101, Lake Oswego, OR 97035
Phone: 503-699-6464    Fax: 503-699-6939
Dr. Tuan Anh Nguyen, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15820 Quarry Rd, Lake Oswego, OR 97035
Phone: 503-635-1955    Fax: 503-635-1958

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