Peter Petrenko (NPI# 1770574147, PAC ID# 0446442446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770574147 |
| PAC ID by PECOS | 0446442446 |
| Professional Enrollment ID | I20101008000783 |
| Full Name | Peter Petrenko |
| Organization Legal Name | PHILLIPS PRATT AND MCFARLAND PSC |
| Address |
1 S Creek Dr Suite 102 Monticello KY 42633-9472 |
| Phone Number | 6063483365 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2062409154 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181321 | WAYNE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 | 6063483365 | PHILLIPS PRATT AND MCFARLAND PSC |
| Organization Legal Name | PHILLIPS PRATT AND MCFARLAND PSC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Bennett Speck | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Ronald M Mcfarland | General Practice | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Jacob Dudley Coffey | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Jason T Hicks | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Matthew T Eaton | Family Medicine | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Sheryl E Polk | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Sarah Leigh Weddle | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Bonnie Stockton | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Carl Don Coffey | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Richard B Mayer | Osteopathic Manipulative Medicine | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Street Address |
1 S CREEK DR SUITE 102 |
| City | MONTICELLO |
| State | KY |
| Zip | 42633-9472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Bennett Speck | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Ronald M Mcfarland | General Practice | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Jacob Dudley Coffey | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| David B Mayer | General Surgery | 1 S Creek Dr, Suite 112, Monticello, KY 42633-9472 | |
| Jason T Hicks | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Matthew T Eaton | Family Medicine | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Sheryl E Polk | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Sarah Leigh Weddle | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Bonnie Stockton | Nurse Practitioner | Phillips Pratt and Mcfarland Psc | 1 S Creek Dr, Suite 102, Monticello, KY 42633-9472 |
| Samuel M Brown | Physical Therapy | 1 S Creek Dr, Suite 116, Monticello, KY 42633-9472 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yanire Martinez | Internal Medicine | Faith Healthcare Inc | 126 Franklin Dr, Monticello, KY 42633 |
| Heather Ann Thompson | Nurse Practitioner | Faith Healthcare Inc | 126 Franklin Dr, Monticello, KY 42633 |
| Sandra Lee Braswell | Nurse Practitioner | Faith Healthcare Inc | 126 Franklin Dr, Monticello, KY 42633 |
| Sherrell L Roberts | Internal Medicine | Faith Healthcare Inc | 126 Franklin Dr, Monticello, KY 42633 |
| James H Sawyer | Optometry | 150 N Main St, Monticello, KY 42633-1438 | |
| Kendra R Catron | Chiropractic | 470 N Main St, Monticello, KY 42633-1532 | |
| Kimberly Page Myers | Nurse Practitioner | Fast Pace Kentucky Pllc | 895 N Main St, Monticello, KY 42633-1580 |
| Abby Carter | Nurse Practitioner | Fast Pace Kentucky Pllc | 895 N Main St, Monticello, KY 42633-1580 |
| Erica Nicole Mcwhorter-hill | Nurse Practitioner | Fast Pace Kentucky Pllc | 895 N Main St, Monticello, KY 42633-1580 |
| Ashok K Lakhiani | Psychiatry | Lake Cumberland Regional Mental Health Mental Retardation Board Inc . | 735 W Columbia Ave, Monticello, KY 42633-1627 |
| Find all physicians in zip 42633 | |||
| City | MONTICELLO |
| Zip Code | 42633 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MONTICELLO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Peter Petrenko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.