Michael A Petrillo (NPI# 1073946745, PAC ID# 1355575028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073946745 |
| PAC ID by PECOS | 1355575028 |
| Professional Enrollment ID | I20131011000929 |
| Full Name | Michael A Petrillo |
| Organization Legal Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Address |
974 Ribaut Rd Beaufort SC 29902-5486 |
| Phone Number | 8435243344 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7810809365 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420067 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| 420105 | MCLEOD LORIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 974 Ribaut Rd, Beaufort, SC 29902-5486 | 8435243344 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5499 | 8435227600 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| 1 Burnt Church Rd, Bluffton, SC 29910-6405 | BEAUFORT COUNTY MEMORIAL HOSPITAL | |
| 11 Arley Way, Bluffton, SC 29910-4883 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea R Hall | Nurse Practitioner | Beaufort County Memorial Hospital | 300 Midtown Dr, Beaufort, SC 29906-5200 |
| Maureen M Chapman | Certified Nurse Midwife | Beaufort County Memorial Hospital | 1835 N Paris Ave, Port Royal, SC 29935-2029 |
| Catherine Tambroni-parker | Certified Nurse Midwife (cnm) | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 210, Beaufort, SC 29902-5481 |
| Deanna Rochelle Mansker | General Surgery | Beaufort County Memorial Hospital | 1680 Ribaut Rd, Port Royal, SC 29935-2008 |
| William M Newberry Iii | Hematology/oncology | Beaufort County Memorial Hospital | 1680 B Ribaut Rd, Port Royal, SC 29935-2008 |
| Marlena M Masavage | Obstetrics/gynecology | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 210, Beaufort, SC 29902-5481 |
| Laura Livergood | Physician Assistant | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5499 |
| John Fontana Jr. | Obstetrics/gynecology | Beaufort County Memorial Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
| Annsley Troxell | Physician Assistant | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5499 |
| Eric Dean Gearhart | Physician Assistant | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5499 |
| Street Address |
974 RIBAUT RD |
| City | BEAUFORT |
| State | SC |
| Zip | 29902-5486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda Elizabeth Moss | Nurse Practitioner | Beaufort County Memorial Hospital | 974 Ribaut Rd, Beaufort, SC 29902-5486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley Marie Knoebel | Occupational Therapy | Sea Island Rehabilitation Pa | 1119 Pickpocket Plntn Dr, Beaufort, SC 29902-3771 |
| Francis Marion Thorpe Jr. | Physical Therapy | Sea Island Rehabilitation Pa | 1119 Pickpocket Plntn Dr, Beaufort, SC 29902-3771 |
| Kristie Beth Wallace | Chiropractic | 703 Bladen St, Beaufort, SC 29902-4915 | |
| Delia Istrate | Physical Therapy | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Ainsley Smith Tayloe | Speech Language Pathologist | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Amanda Ann Wright | Speech Language Pathologist | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Travis Jermaine Hicks | Occupational Therapy | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Diana Rose Vander Laan | Speech Language Pathologist | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Charles J Reamy | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1050 Ribaut Rd, Beaufort, SC 29902-5400 |
| Sharon M Kahler | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1050 Ribaut Rd, Beaufort, SC 29902-5400 |
| Find all physicians in zip 29902 | |||
| City | BEAUFORT |
| Zip Code | 29902 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEAUFORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael A Petrillo.
| 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.