Ms Amanda Jo Petri, MA in Maplewood, MN - Medicare Audiologist Provider

Ms Amanda Jo Petri, MA is a medicare enrolled "Audiologist" provider in Maplewood, Minnesota. Her current practice location is 1675 Beam Ave, Suite 200, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 770-1105.

Ms Amanda Jo Petri is licensed to practice in Minnesota (license number 8026) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760547269.

Contact Information

	Ms Amanda Jo Petri, MA
	1675 Beam Ave, Suite 200, Maplewood, MN 55109-1172
	(651) 770-1105
	(651) 770-1226

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amanda Jo Petri
Gender	Female
Speciality	Audiologist
Location	1675 Beam Ave, Maplewood, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760547269
Provider Enumeration Date: 12/26/2006
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5496843310
Enrollment ID: I20071110000020

Medical Identifiers

Medical identifiers for Ms Amanda Jo Petri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760547269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	8026 (Minnesota)	Primary

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. Ms Amanda Jo Petri allows following entities to bill medicare on her behalf.

Provider Name	Otolaryngology & Head & Neck Surgery Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821195959 PECOS PAC ID: 1658268651 Enrollment ID: O20050118000086

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. Ms Amanda Jo Petri 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
Ms Amanda Jo Petri, MA 2080 Woodwinds Dr, Suite 240, Woodbury, MN 55125-2523 Ph: (651) 702-0750	Ms Amanda Jo Petri, MA 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1172 Ph: (651) 770-1105

Reviews and Comments

Audiologist in Maplewood, MN

Alanna Marie Wallerstein, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 200, Maplewood, MN 55109 Phone: 651-232-0707 Fax: 651-326-9462
Mrs. Jamie K Kirchoff, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1675 Beam Ave, Suite 200, Maplewood, MN 55109 Phone: 651-770-1105 Fax: 651-770-1226
Kelly Ann Veit, AUD CCC A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1675 Beam Ave, #200, Maplewood, MN 55109 Phone: 651-770-1105 Fax: 651-770-1226
Jennifer Markee Parlange, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 200, Maplewood, MN 55109 Phone: 612-626-5775
Mrs. Anne Katherine Zowin, AUD CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1675 Beam Ave, 200, Maplewood, MN 55109 Phone: 651-770-1105 Fax: 651-770-1226

Ms Amanda Jo Petri, MA - Medicare Audiologist in Maplewood, MN