Bethany Petrey, is a medicare enrolled "Advanced Practice Midwife" in Jeffersonvlle, Indiana. Her current practice location is
301 Gordon Gutmann Blvd Ste 201, Jeffersonvlle, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 282-6114.
Bethany Petrey is licensed to practice in Indiana (license number 09000449C) 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 1801664479.
Provider's Profile
Full Name | Bethany Petrey |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 301 Gordon Gutmann Blvd Ste 201, Jeffersonvlle, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801664479
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 12/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527594878
- Enrollment ID: I20241210001222
Medical Identifiers
Medical identifiers for Bethany Petrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801664479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 09000449C (Indiana) | Primary |
367A00000X | Advanced Practice Midwife | 4011242 (Kentucky) | Secondary |
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. Bethany Petrey allows following entities to bill medicare on her behalf.
Entity Name | Woman Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457420390 PECOS PAC ID: 0749210748 Enrollment ID: O20050819000068 |
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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. Bethany Petrey 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 |
Bethany Petrey, 5141 Rockbridge Rd, Shelbyville, KY 40065-9309 Ph: () - | Bethany Petrey, 301 Gordon Gutmann Blvd Ste 201, Jeffersonvlle, IN 47130-3766 Ph: (812) 282-6114 |
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