Barbara E Petty, NP is a medicare enrolled "Nurse Practitioner - Women's Health" provider in Leesburg, Virginia. Her current practice location is
19415 Deerfield Ave, Suite 213, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 729-9220.
Barbara E Petty is licensed to practice in Virginia (license number 0024169385) 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 1568562072.
Healthcare Provider's Profile
| Full Name | Barbara E Petty |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 19415 Deerfield Ave, Leesburg, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568562072
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 05/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 9032129499
- Enrollment ID: I20150303002357
Medical Identifiers
Medical identifiers for Barbara E Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568562072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 0024169385 (Virginia) | 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. Barbara E Petty allows following entities to bill medicare on her behalf.
| Provider Name | Loudoun Medical Group, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679591440
PECOS PAC ID: 0042119661
Enrollment ID: O20041115000474 |
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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. Barbara E Petty 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 |
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Barbara E Petty, NP
Po Box 17334,
Baltimore, MD 21297-1334
Ph: (703) 729-9220 | Barbara E Petty, NP
19415 Deerfield Ave, Suite 213,
Leesburg, VA 20176-8452
Ph: (703) 729-9220 |
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