Melanie G Petchak, NP-BC - Nurse Practitioner in Shreveport, LA

Melanie G Petchak, NP-BC is a Nurse Practitioner - School based in Shreveport, Louisiana. Melanie G Petchak is licensed to practice in Louisiana (license number 03820) and her current practice location is 7611 Saint Vincent Ave, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 861-1671.

NPI number for Melanie G Petchak is 1336363845 and her current mailing address is 1 Saint Mary Pl, Shreveport, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336363845.

Contact Information

Melanie G Petchak, NP-BC
7611 Saint Vincent Ave,
Shreveport, LA 71106-4231
(318) 861-1671
Not Available

Map and Direction




Provider's Profile

Full NameMelanie G Petchak
GenderFemale
SpecialityNurse Practitioner - School
Location7611 Saint Vincent Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336363845
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Melanie G Petchak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336363845NPI-NPPES
1166430MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LS0200XNurse Practitioner - School 03820 (Louisiana)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. Melanie G Petchak 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 AddressPractice Location Address
Melanie G Petchak, NP-BC
1 Saint Mary Pl,
Shreveport, LA 71101-4343

Ph: (318) 861-1671
Melanie G Petchak, NP-BC
7611 Saint Vincent Ave,
Shreveport, LA 71106-4231

Ph: (318) 861-1671

Reviews and Comments


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