Mrs Jessica R Petrick, NP is a
Nurse Practitioner - Pediatrics physician based in Syracuse, New York. Mrs Jessica R Petrick is licensed to practice in New York (license number 383447) and her current practice location is 655 Madison Street, Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 473-8700.
NPI number for Mrs Jessica R Petrick is 1417671165 and her current mailing address is 251 Salina Meadows Parkway, Suite 100, Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417671165.
Physician's Profile
| Full Name | Mrs Jessica R Petrick |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 655 Madison Street, Syracuse, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417671165
- Provider Enumeration Date: 09/27/2022
- Last Update Date: 11/07/2024
Medical Identifiers
Medical identifiers for Mrs Jessica R Petrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417671165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 383447 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 383447 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 383447 (New York) | 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. Mrs Jessica R Petrick 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 Jessica R Petrick, NP
251 Salina Meadows Parkway, Suite 100,
Syracuse, NY 13212
Ph: (315) 464-2000 | Mrs Jessica R Petrick, NP
655 Madison Street,
Syracuse, NY 13210
Ph: (315) 473-8700 |
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