1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

PHILLIP PETRASKO
NPI 1558112714
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 27, 2024PECOS Enrolled
653-1 W 8TH ST # L18, JACKSONVILLE, FL 32209(904) 244-3094 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip Petrasko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP PETRASKO (NPI 1558112714) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558112714
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILLIP PETRASKO
Location Address653-1 W 8TH ST # L18Jacksonville, FL 32209-6511
Mailing Address653-1 W 8th St # L18Jacksonville, FL 32209-6511 · (904) 244-3094
Phone(904) 244-3094
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1558112714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653-1 W 8TH ST # L18, Jacksonville, FL 32209
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Petrasko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SRUTI RAJA
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
JULIE GAUDIN
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
ALEXANDER DEN BOEF
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
HANNA FAYYAZ MALIK DO
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
SAANIYA AASIF BAGDADI DO
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
DR. CLAUDIA ALEMAN OLIVA DO
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
ZEHRA RAHMAN
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
ALEXIS CHRYSTMAN
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094

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 Phillip Petrasko's NPI number?

The NPI number for Phillip Petrasko is 1558112714. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Phillip Petrasko located?

Phillip Petrasko practices at 653-1 W 8th St # L18, Jacksonville, FL 32209. The listed phone number is (904) 244-3094.

What is Phillip Petrasko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phillip Petrasko enrolled in Medicare?

Yes. Phillip Petrasko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Petrasko was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.