Dr Petaiah Mohan, MD - Medicare Pediatrics in Beckley, WV

Dr Petaiah Mohan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Beckley, West Virginia. His current practice location is 194 Carriage Dr, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 255-6051.

Dr Petaiah Mohan is licensed to practice in West Virginia (license number 18400) 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 1033295324.

Contact Information

Dr Petaiah Mohan, MD
194 Carriage Dr,
Beckley, WV 25801-2804
(304) 255-6051
(304) 255-6051



Physician's Profile

Full NameDr Petaiah Mohan
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location194 Carriage Dr, Beckley, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033295324
  • Provider Enumeration Date: 10/28/2006
  • Last Update Date: 12/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3577732718
  • Enrollment ID: I20110804000601

Medical Identifiers

Medical identifiers for Dr Petaiah Mohan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033295324NPI-NPPES
0110044000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 18400 (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. Dr Petaiah Mohan allows following entities to bill medicare on his behalf.
Entity NameAppalachian Regional Healthcare Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477510162
PECOS PAC ID: 0840107835
Enrollment ID: O20031210000688

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Entity NameRaleigh General Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114475746
PECOS PAC ID: 6103735154
Enrollment ID: O20040914001132

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Entity NameAppalachian Mountains Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881023117
PECOS PAC ID: 6709016264
Enrollment ID: O20140228000564

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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 Petaiah Mohan 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 Petaiah Mohan, MD
1710 Harper Rd,
Beckley, WV 25801-3357

Ph: (304) 255-6051
Dr Petaiah Mohan, MD
194 Carriage Dr,
Beckley, WV 25801-2804

Ph: (304) 255-6051

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› Verified 4 days ago


Pediatrics Doctors in Beckley, WV

Carlos Estanislao Lucero, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 403 Carriage Drive, Beckley, WV 25801
Phone: 304-255-7456    Fax: 304-255-5899
Ramon Lacanilao, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 30 Mallard Court, Beckley, WV 25801
Phone: 304-255-0800    Fax: 304-255-1040
Kim D Bennett, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 252 Rural Acres Dr, Beckley, WV 25801
Phone: 304-252-8551    Fax: 304-252-1790
Dr. Michele Dawn Staton, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2401 S Kanawha St, Suite 110a, Beckley, WV 25801
Phone: 304-929-4646    Fax: 304-929-4649
Dr. Malik Hamdan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1710 Harper Rd, Beckley, WV 25801
Phone: 304-256-4100    Fax: 304-254-3016
Dr. Saraswathi Mohan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 194 Carriage Dr, Beckley, WV 25801
Phone: 304-255-6051    Fax: 304-255-6051

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