Dr Michael Petry, MD - Medicare Radiology in Duluth, MN

Dr Michael Petry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Duluth, Minnesota. His current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-8364.

Dr Michael Petry is licensed to practice in Minnesota (license number 71698) 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 1942731583.

Contact Information

Dr Michael Petry, MD
400 E 3rd St,
Duluth, MN 55805-1951
(218) 786-8364
Not Available



Physician's Profile

Full NameDr Michael Petry
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location400 E 3rd St, Duluth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942731583
  • Provider Enumeration Date: 03/24/2017
  • Last Update Date: 09/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870972763
  • Enrollment ID: I20221014001063

Medical Identifiers

Medical identifiers for Dr Michael Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942731583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 71698 (Minnesota)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 Michael Petry allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229

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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 Michael Petry 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 Michael Petry, MD
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364
Dr Michael Petry, MD
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364

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Radiology Doctors in Duluth, MN

Bruce James Derauf,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Mrs. Rebecca Lynn Kuntz, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 925 E Superior St, Suite 109, Duluth, MN 55802
Phone: 218-722-3700    Fax: 218-722-8705
Dr. Matthew Steven Wagner, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 420 E 1st St, Duluth, MN 55805
Phone: 218-786-8364    
Kenneth Dornfeld, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 400 East 3rd Street, Duluth, MN 55805
Phone: 218-786-8364    
Dr. William E. Johnson, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 925 E Superior St, Suite109, Duluth, MN 55802
Phone: 218-722-3700    Fax: 218-722-8705
Dr. Ryan Patrick Wippler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 420 E 1st St, Duluth, MN 55805
Phone: 218-786-8364    
Michael Edward Ryan,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    

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