Diane Lynn Petry, MA, LMHCA in Indianapolis, IN

Diane Lynn Petry, MA, LMHCA is a medicare enrolled "Counselor - Mental Health" provider in Indianapolis, Indiana. Her current practice location is 9840 Westpoint Dr Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 585-1060.

Diane Lynn Petry is licensed to practice in Indiana (license number 88000447A) 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 1972080661.

Contact Information

	Diane Lynn Petry, MA, LMHCA
	9840 Westpoint Dr Ste 200, Indianapolis, IN 46256-3368
	(317) 585-1060
	(317) 585-9811

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Lynn Petry
Gender	Female
Speciality	Counselor - Mental Health
Location	9840 Westpoint Dr Ste 200, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972080661
Provider Enumeration Date: 07/25/2018
Last Update Date: 07/25/2018

Medicare PECOS Information:

PECOS PAC ID: 6305288564
Enrollment ID: I20240521000203

Medical Identifiers

Medical identifiers for Diane Lynn Petry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972080661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	88000447A (Indiana)	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. Diane Lynn Petry allows following entities to bill medicare on her behalf.

Entity Name	Hancock Physician Network, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777

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. Diane Lynn Petry 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
Diane Lynn Petry, MA, LMHCA 5784 N 600 E, Greenfield, IN 46140-9036 Ph: (317) 409-1035	Diane Lynn Petry, MA, LMHCA 9840 Westpoint Dr Ste 200, Indianapolis, IN 46256-3368 Ph: (317) 585-1060

Reviews and Comments

Counselor in Indianapolis, IN

Miss Tangela Cameron, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Indianapolis, IN 46205 Phone: 317-475-9066 Fax: 317-257-3602
Elizabeth J Malcom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 Fax: 317-338-4890
Molly Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Ste J, Indianapolis, IN 46205 Phone: 317-475-9066
Marlene J Villecco, MS, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5638 Professional Cir, Indianapolis, IN 46241 Phone: 888-714-1927 Fax: 317-247-8935
Camishe R Nunley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 East 16th Street, Suite A 31, Indianapolis, IN 46218 Phone: 317-355-1800
Mrs. Unchana Thamasak, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Vincennes Rd, Suite 303, Indianapolis, IN 46268 Phone: 317-471-3522 Fax: 317-471-3508
Mark P Radel, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208

Diane Lynn Petry, MA, LMHCA - Medicare Counselor in Indianapolis, IN