Elizabeth A Petcov, CRNP is a medicare enrolled "Nurse Practitioner" physician in Lebanon, Pennsylvania. Her current practice location is
252 S 4th St, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 270-4876.
Elizabeth A Petcov is licensed to practice in Pennsylvania (license number SP017652) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720504152.
Physician's Profile
Full Name | Elizabeth A Petcov |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 252 S 4th St, Lebanon, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Elizabeth A Petcov attended and graduated from in
NPI Data:
- NPI Number: 1720504152
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Elizabeth A Petcov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720504152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | SP017652 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | MC4527581 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP017652 (Pennsylvania) | 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. Elizabeth A Petcov 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 |
Elizabeth A Petcov, CRNP 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-4051 | Elizabeth A Petcov, CRNP 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-4876 |
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