Mitchell Lee Petusevsky, MD - Medicare Internal Medicine in Naples, FL

Mitchell Lee Petusevsky, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Naples, Florida. His current practice location is 700 2nd Ave N, Suite 305, Naples, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 263-8385.

Mitchell Lee Petusevsky is licensed to practice in Florida (license number FLME0042752) 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 1275584435.

Contact Information

Mitchell Lee Petusevsky, MD
700 2nd Ave N, Suite 305,
Naples, FL 34102-5756
(239) 263-8385
(239) 263-8592



Physician's Profile

Full NameMitchell Lee Petusevsky
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location700 2nd Ave N, Naples, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275584435
  • Provider Enumeration Date: 05/13/2006
  • Last Update Date: 03/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9537162730
  • Enrollment ID: I20060808000332

Medical Identifiers

Medical identifiers for Mitchell Lee Petusevsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275584435NPI-NPPES
064860400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease FLME0042752 (Florida)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. Mitchell Lee Petusevsky allows following entities to bill medicare on his behalf.
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338

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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. Mitchell Lee Petusevsky 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
Mitchell Lee Petusevsky, MD
3434 Hancock Bridge Pkwy, Suite 301,
North Fort Myers, FL 33903-7094

Ph: (877) 856-3774
Mitchell Lee Petusevsky, MD
700 2nd Ave N, Suite 305,
Naples, FL 34102-5756

Ph: (239) 263-8385

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The University of California, Davis, and BGI, the world's largest genomic institute, based in China, have signed a historic agreement that will change the landscape of genomic sciences in California and the Western states, and foster critical breakthroughs in the areas of food security and human, animal and environmental health.

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Internal Medicine Doctors in Naples, FL

Ricardo Martinez, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 851 5th Ave N Ste 102, Naples, FL 34102
Phone: 239-315-7801    Fax: 855-888-3291
Dr. Karen Moss Ezrine, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 762 Regency Reserve Cir, Naples, FL 34119
Phone: 239-354-1998    
Dr. Lawrence Kenneth Harris, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2171 Pine Ridge Rd, Suite F, Naples, FL 34109
Phone: 239-566-7425    Fax: 239-593-3430
Todd David Brodie, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 730 Goodlette Rd N, Ste 205, Naples, FL 34102
Phone: 239-436-3666    Fax: 239-436-3678
Dr. Frank Michael Elterman, D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6101 Pine Ridge Rd, Naples, FL 34119
Phone: 239-330-2933    Fax: 855-691-0391
Vincent Charles Bianca Iii, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 9015 Strada Stell Ct, Suite 201, Naples, FL 34109
Phone: 239-597-5638    Fax: 239-597-5628
Catherine Nina Kowal, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1855 Veterans Park Dr, Suite 103, Naples, FL 34109
Phone: 239-596-5220    Fax: 239-643-9816

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