Mrs Carmen M Petrus, PA in Anaheim, CA - Medicare Physician Assistant

Mrs Carmen M Petrus, PA is a medicare enrolled "Physician Assistant - Medical" in Anaheim, California. Her current practice location is 1211 W La Palma Ave, Ste 502, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 776-7090.

Mrs Carmen M Petrus is licensed to practice in California (license number PA14772) 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 1467458455.

Contact Information

	Mrs Carmen M Petrus, PA
	1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2815
	(714) 776-7090
	(714) 776-5632

Map and Direction

Provider's Profile

Full Name	Mrs Carmen M Petrus
Gender	Female
Speciality	Physician Assistant - Medical
Location	1211 W La Palma Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467458455
Provider Enumeration Date: 06/23/2005
Last Update Date: 04/21/2011

Medicare PECOS Information:

PECOS PAC ID: 6406752104
Enrollment ID: I20031211001176

Medical Identifiers

Medical identifiers for Mrs Carmen M Petrus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467458455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA14772 (California)	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 Carmen M Petrus 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
Mrs Carmen M Petrus, PA 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2815 Ph: (714) 776-7090	Mrs Carmen M Petrus, PA 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2815 Ph: (714) 776-7090

Reviews and Comments

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Mrs Carmen M Petrus, PA - Medicare Physician Assistant in Anaheim, CA