Andrea Irene Petty, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Las Vegas, Nevada. Her current practice location is
3210 W Charleston Blvd Ste 2, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 444-0768.
Andrea Irene Petty is licensed to practice in Nevada (license number 811308) 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 1194387886.
Healthcare Provider's Profile
Full Name | Andrea Irene Petty |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3210 W Charleston Blvd Ste 2, Las Vegas, Nevada |
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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. |
Medical Education and Training:
- Andrea Irene Petty attended and graduated from in
NPI Data:
- NPI Number: 1194387886
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 11/02/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Andrea Irene Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194387886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 811308 (Nevada) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95015570 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 811308 (Nevada) | 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. Andrea Irene Petty 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 |
Andrea Irene Petty, PMHNP 3210 W Charleston Blvd Ste 2, Las Vegas, NV 89102-0080 Ph: (725) 286-1855 | Andrea Irene Petty, PMHNP 3210 W Charleston Blvd Ste 2, Las Vegas, NV 89102-0080 Ph: (702) 444-0768 |
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