Mrs Tisha Petelo, LCSW, MAC - Clinical Social Worker in Pago Pago, AS

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Mrs Tisha Petelo, LCSW, MAC is a Social Worker - Clinical based in Pago Pago, American Samoa. Mrs Tisha Petelo is licensed to practice in Colorado (license number 809) and her current practice location is Fiatele Teo Bldg., Airport Road 1005, Pago Pago, American Samoa. She can be reached at her office (for appointments etc.) via phone at (684) 699-3725.

NPI number for Mrs Tisha Petelo is 1487980611 and her current mailing address is Po Box 1005, Pago Pago, American Samoa. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487980611.

Contact Information

Mrs Tisha Petelo, LCSW, MAC
Fiatele Teo Bldg., Airport Road 1005,
Pago Pago, AS 96799-1005
(684) 699-3725
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Tisha Petelo
GenderFemale
SpecialitySocial Worker - Clinical
LocationFiatele Teo Bldg., Pago Pago, American Samoa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487980611
  • Provider Enumeration Date: 10/22/2009
  • Last Update Date: 10/22/2009

Medical Identifiers

Medical identifiers for Mrs Tisha Petelo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487980611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 809 (Colorado)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. Mrs Tisha Petelo 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 AddressPractice Location Address
Mrs Tisha Petelo, LCSW, MAC
Po Box 1005,
Pago Pago, AS 96799-1005

Ph: (684) 699-3725		Mrs Tisha Petelo, LCSW, MAC
Fiatele Teo Bldg., Airport Road 1005,
Pago Pago, AS 96799-1005

Ph: (684) 699-3725

Reviews and Comments


Social Worker in Pago Pago, AS

Mr. Robert Lloyd Max Toelupe, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4715 Aua Main St., Pago Pago, AS 96799
Phone: 684-252-5480    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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