Mrs Patricia A Petitpas, APRN/PCNS is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Cranston, Rhode Island. Mrs Patricia A Petitpas is licensed to practice in Rhode Island (license number PPNS00064) and her current practice location is
900 Reservoir Ave, Cranston, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 944-0194.
NPI number for Mrs Patricia A Petitpas is 1457446593 and her current mailing address is 60 Metropolitan Drive, Warwick, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457446593.
Healthcare Provider's Profile
| Full Name | Mrs Patricia A Petitpas |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
|---|
| Location | 900 Reservoir Ave, Cranston, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457446593
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 12/22/2015
Medical Identifiers
Medical identifiers for Mrs Patricia A Petitpas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457446593 | NPI | - | NPPES |
| 0000032309 | Other | RI | RI BLUE CROSS PROVIDER # |
| 0000032309 | Other | RI | RI BC/BS PRVD.# |
| 6228710 | Other | RI | UNITED HEALTH |
| 413965 | Other | RI | RI BLUE CHIP PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDP00043 (Rhode Island) | Secondary |
| 163W00000X | Registered Nurse | RN22224 (Rhode Island) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | PPNS00064 (Rhode Island) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN22224 (Rhode Island) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | PPNS00064 (Rhode Island) | Primary |
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | LCDP00043 (Rhode Island) | Secondary |
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 Patricia A Petitpas 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 |
|---|
Mrs Patricia A Petitpas, APRN/PCNS
60 Metropolitan Drive,
Warwick, RI 02886-7922
Ph: (401) 738-1820 | Mrs Patricia A Petitpas, APRN/PCNS
900 Reservoir Ave,
Cranston, RI 02910-4453
Ph: (401) 944-0194 |
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