Mr Gary Michael Petrus, MD in N Little Rock, AR - Medicare Surgery

Mr Gary Michael Petrus, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in N Little Rock, Arkansas. His current practice location is 4137 John F Kennedy Blvd Ste A, N Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 614-3052.

Mr Gary Michael Petrus is licensed to practice in Arkansas (license number C7318) 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 1568525806.

Contact Information

	Mr Gary Michael Petrus, MD
	4137 John F Kennedy Blvd Ste A, N Little Rock, AR 72116-8230
	(501) 614-3052
	(501) 614-3057

Physician's Profile

Full Name	Mr Gary Michael Petrus
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	4137 John F Kennedy Blvd Ste A, N Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568525806
Provider Enumeration Date: 12/18/2006
Last Update Date: 01/25/2019

Medicare PECOS Information:

PECOS PAC ID: 3971532599
Enrollment ID: I20110228000695

Medical Identifiers

Medical identifiers for Mr Gary Michael Petrus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568525806	NPI	-	NPPES
114482001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2082S0099X	Plastic Surgery - Plastic Surgery Within The Head And Neck	C7318 (Arkansas)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	C7318 (Arkansas)	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. Mr Gary Michael Petrus allows following entities to bill medicare on his behalf.

Entity Name	Gary M Petrus Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871666446 PECOS PAC ID: 0244411957 Enrollment ID: O20110228000656

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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. Mr Gary Michael Petrus 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
Mr Gary Michael Petrus, MD Po Box 241580, Little Rock, AR 72223-0011 Ph: (501) 614-3052	Mr Gary Michael Petrus, MD 4137 John F Kennedy Blvd Ste A, N Little Rock, AR 72116-8230 Ph: (501) 614-3052

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Mr Gary Michael Petrus, MD - Medicare Surgery in N Little Rock, AR

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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New imaging technique can better identify the presence of residual cancers in rectal tissues

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Surgery Doctors in N Little Rock, AR