Leez-betina Petit, is a medicare enrolled "Chiropractor" provider in Willingboro, New Jersey. She went to New York Chiropractic College and graduated in 2018 and has 6 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Henry J Austin Health Center Inc and her current practice location is
14 Gallaway Ln, Willingboro, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 494-5150.
Leez-betina Petit is licensed to practice in New Jersey (license number 38MC00760000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770049249.
Healthcare Provider's Profile
| Full Name | Leez-betina Petit |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 6 Years |
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| Location | 14 Gallaway Ln, Willingboro, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leez-betina Petit attended and graduated from New York Chiropractic College in 2018
NPI Data:
- NPI Number: 1770049249
- Provider Enumeration Date: 02/20/2019
- Last Update Date: 07/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345676003
- Enrollment ID: I20200129001066
Medical Identifiers
Medical identifiers for Leez-betina Petit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770049249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 25MZ00149800 (New Jersey) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 38MC00760000 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Henry J Austin Health Center Inc | 9739179409 | 28 |
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. Leez-betina Petit allows following entities to bill medicare on her behalf.
| Provider Name | Henry J Austin Health Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275644809
PECOS PAC ID: 9739179409
Enrollment ID: O20110602000626 |
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| Provider Name | Functional Performance Institute Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184951501
PECOS PAC ID: 0749425312
Enrollment ID: O20130402000322 |
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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. Leez-betina Petit 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 |
|---|
Leez-betina Petit,
14 Gallaway Ln,
Willingboro, NJ 08046-3226
Ph: (908) 494-5150 | Leez-betina Petit,
14 Gallaway Ln,
Willingboro, NJ 08046-3226
Ph: (908) 494-5150 |
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