DR. ERIC EVAN PETTERSON MD
NPI 1245269547
Internal Medicine - Addiction Medicine in Mahanoy City, PA
About Dr. Eric Evan Petterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERIC EVAN PETTERSON MD (NPI 1245269547) is an individual addiction medicine provider in Mahanoy City, Pennsylvania, licensed in Pennsylvania (MD039636L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Eric Evan Petterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Eric Petterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mahanoy City, PA 17948
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Eric E Petterson PC
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17948 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAHANOY CITY, PA 17948
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eric Petterson's NPI number?
The NPI number for Eric Petterson is 1245269547. It was assigned to this individual provider in the NPPES registry on July 1, 2006.
Where is Eric Petterson located?
Eric Petterson practices at 411 W Pine St, Mahanoy City, PA 17948. The listed phone number is (570) 773-1101.
What is Eric Petterson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.
Is Eric Petterson enrolled in Medicare?
Yes. Eric Petterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Eric Petterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Petterson reassigns Medicare benefits to Eric E. Petterson P.C. (Mahanoy City, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Petterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eric Petterson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Eric Petterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eric Petterson was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Eric Evan Petterson, MD · NPI 1245269547
Addiction Medicine physician in Mahanoy City, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1245269547 (Entity type: Individual)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **State license:** MD039636L (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 411 W PINE ST, Mahanoy City, PA 17948-2515
- **Phone:** (570) 773-1101 · **Fax:** (570) 773-1103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Eric E. Petterson P.C. (NPI 1245787530, Mahanoy City, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** October 17, 2025
- **Other identifiers:** Medicaid 0010036980010 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245269547) · Data from the CMS NPPES public registry.