Mary Jo Petras, MA CCCA FAAA is a
Audiologist-hearing Aid Fitter based in Cody, Wyoming. Mary Jo Petras is licensed to practice in Wyoming (license number AUDIOLOGIST HEARING) and her current practice location is
721 Sheridan Ave, Suite 150 Big Horn Basin Hearing Inc, Cody, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 527-6475.
NPI number for Mary Jo Petras is 1093807281 and her current mailing address is 26 Talon Drive, Cody, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093807281.
Healthcare Provider's Profile
Full Name | Mary Jo Petras |
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Gender | Female |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 721 Sheridan Ave, Cody, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093807281
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Jo Petras such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093807281 | NPI | - | NPPES |
1179837000 | Medicaid | WY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AUDIOLOGY A966 (Wyoming) | Primary |
237600000X | Audiologist-hearing Aid Fitter | AUDIOLOGIST HEARING (Wyoming) | Primary |
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. Mary Jo Petras is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Jo Petras, MA CCCA FAAA 26 Talon Drive, Cody, WY 82414 Ph: (307) 587-0343 | Mary Jo Petras, MA CCCA FAAA 721 Sheridan Ave, Suite 150 Big Horn Basin Hearing Inc, Cody, WY 82414 Ph: (307) 527-6475 |
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