Kara Lynn Petredis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Eugene, Oregon. Her current practice location is
1551 Oak St Ste B, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 255-1411.
Kara Lynn Petredis is licensed to practice in Oregon (license number 202204007NP-PP) 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 1912675786.
Healthcare Provider's Profile
Full Name | Kara Lynn Petredis |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1551 Oak St Ste B, Eugene, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912675786
- Provider Enumeration Date: 09/05/2021
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264819747
- Enrollment ID: I20220523002068
Medical Identifiers
Medical identifiers for Kara Lynn Petredis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912675786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202204007NP-PP (Oregon) | 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. Kara Lynn Petredis allows following entities to bill medicare on her behalf.
Entity Name | Bridges Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093249542 PECOS PAC ID: 0547502783 Enrollment ID: O20190508001947 |
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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. Kara Lynn Petredis 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 |
Kara Lynn Petredis, PMHNP 1711 Willamette Street, Suite 301, #140, Eugene, OR 97401-4593 Ph: (541) 255-1411 | Kara Lynn Petredis, PMHNP 1551 Oak St Ste B, Eugene, OR 97401-4023 Ph: (541) 255-1411 |
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