Mrs Collen Irene Petrie, LPN is a
Licensed Practical Nurse based in Caroga Lake, New York. Mrs Collen Irene Petrie is licensed to practice in New York (license number 150371-1) and her current practice location is
114 2nd Ave, 1st House On Right, Caroga Lake, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 630-7191.
NPI number for Mrs Collen Irene Petrie is 1235374026 and her current mailing address is P.o. Box 599, 114 Second Ave, Caroga Lake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235374026.
Provider's Profile
| Full Name | Mrs Collen Irene Petrie |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 114 2nd Ave, Caroga Lake, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235374026
- Provider Enumeration Date: 12/08/2008
- Last Update Date: 06/03/2013
Medical Identifiers
Medical identifiers for Mrs Collen Irene Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235374026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 150371-1 (New York) | 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 Collen Irene Petrie 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 |
|---|
Mrs Collen Irene Petrie, LPN
P.o. Box 599, 114 Second Ave,
Caroga Lake, NY 12032
Ph: (518) 630-7191 | Mrs Collen Irene Petrie, LPN
114 2nd Ave, 1st House On Right,
Caroga Lake, NY 12032
Ph: (518) 630-7191 |
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