Kali Suzanne Nan Petties, T-CTL0220451 is a
Case Manager/care Coordinator based in Albuquerque, New Mexico. Kali Suzanne Nan Petties is licensed to practice in * (Not Available) (license number ) and her current practice location is
119 Industrial Ave Ne, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 345-2127.
NPI number for Kali Suzanne Nan Petties is 1639210404 and her current mailing address is 8624 Bluff Springs Dr Ne, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639210404.
Healthcare Provider's Profile
Full Name | Kali Suzanne Nan Petties |
---|
Gender | Female |
---|
Speciality | Case Manager/care Coordinator |
---|
Location | 119 Industrial Ave Ne, Albuquerque, New Mexico |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639210404
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 11/05/2021
Medical Identifiers
Medical identifiers for Kali Suzanne Nan Petties such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639210404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | T-CTL0220451 (New Mexico) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Kali Suzanne Nan Petties 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 |
Kali Suzanne Nan Petties, T-CTL0220451 8624 Bluff Springs Dr Ne, Albuquerque, NM 87113-2278 Ph: (505) 681-8153 | Kali Suzanne Nan Petties, T-CTL0220451 119 Industrial Ave Ne, Albuquerque, NM 87107-2283 Ph: (505) 345-2127 |
Reviews and Comments