Selena Pettit, is a
Case Manager/care Coordinator based in Portsmouth, Ohio. Selena Pettit is licensed to practice in * (Not Available) (license number CMS) and her current practice location is
411 Court St, Portsmouth, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 354-6685.
NPI number for Selena Pettit is 1124581160 and her current mailing address is 923 Findlay St, Portsmouth, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124581160.
Healthcare Provider's Profile
Full Name | Selena Pettit |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 411 Court St, Portsmouth, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124581160
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 04/08/2019
Medical Identifiers
Medical identifiers for Selena Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124581160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | QMHS (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | CMS (* (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. Selena Pettit 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 |
Selena Pettit, 923 Findlay St, Portsmouth, OH 45662-4148 Ph: () - | Selena Pettit, 411 Court St, Portsmouth, OH 45662-3932 Ph: (740) 354-6685 |
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