Katelyn Petrovich, PMHNP-BC | |
211 E 7th St Ste 620, Austin, TX 78701-3218 | |
(800) 370-3651 | |
Not Available |
Full Name | Katelyn Petrovich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 211 E 7th St Ste 620, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730584988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP126794 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Med Management Associates | 7810299187 | 24 |
Entity Name | Vericare Of Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730130873 PECOS PAC ID: 4082512546 Enrollment ID: O20040304001363 |
Entity Name | Med Management Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508233040 PECOS PAC ID: 7810299187 Enrollment ID: O20160104000560 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Petrovich, PMHNP-BC 1480 Boston Post Rd, Old Saybrook, CT 06475-1750 Ph: () - | Katelyn Petrovich, PMHNP-BC 211 E 7th St Ste 620, Austin, TX 78701-3218 Ph: (800) 370-3651 |
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