Brittianee Pettaway, is a
Licensed Practical Nurse based in Gibraltar, Michigan. Brittianee Pettaway is licensed to practice in Michigan (license number 4703122569) and her current practice location is
28986 Sugar Island Ct, Gibraltar, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 929-4645.
NPI number for Brittianee Pettaway is 1184298440 and her current mailing address is 28986 Sugar Island Ct, Gibraltar, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184298440.
Provider's Profile
Full Name | Brittianee Pettaway |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 28986 Sugar Island Ct, Gibraltar, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184298440
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 04/08/2024
Medical Identifiers
Medical identifiers for Brittianee Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184298440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703122569 (Michigan) | 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. Brittianee Pettaway 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 |
Brittianee Pettaway, 28986 Sugar Island Ct, Gibraltar, MI 48173-9578 Ph: (248) 929-4645 | Brittianee Pettaway, 28986 Sugar Island Ct, Gibraltar, MI 48173-9578 Ph: (248) 929-4645 |
Reviews and Comments