Dr Jan H Petri, MD is a
Otolaryngology physician based in Collierville, Tennessee. Dr Jan H Petri is licensed to practice in Tennessee (license number 17612) and her current practice location is 2028 W Poplar Ave Ste 112, Collierville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 861-2526.
NPI number for Dr Jan H Petri is 1033175682 and her current mailing address is 9554 Fox Hill Cir S, Germantown, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033175682.
Physician's Profile
Full Name | Dr Jan H Petri |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | 2028 W Poplar Ave Ste 112, Collierville, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033175682
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Jan H Petri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033175682 | NPI | - | NPPES |
3073227 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 17612 (Tennessee) | 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. Dr Jan H Petri 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 |
Dr Jan H Petri, MD 9554 Fox Hill Cir S, Germantown, TN 38139-6829 Ph: (901) 861-2526 | Dr Jan H Petri, MD 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 Ph: (901) 861-2526 |
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