Mrs Elizabeth G Petty, is a
Licensed Practical Nurse based in Roebuck, South Carolina. Mrs Elizabeth G Petty is licensed to practice in South Carolina (license number P13063) and her current practice location is
2401 E Blackstock Rd, Roebuck, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 576-6151.
NPI number for Mrs Elizabeth G Petty is 1013341627 and her current mailing address is 2401 E Blackstock Rd, Roebuck, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013341627.
Provider's Profile
| Full Name | Mrs Elizabeth G Petty |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 2401 E Blackstock Rd, Roebuck, South Carolina |
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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: 1013341627
- Provider Enumeration Date: 08/30/2013
- Last Update Date: 08/30/2013
Medical Identifiers
Medical identifiers for Mrs Elizabeth G Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013341627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P13063 (South Carolina) | 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 Elizabeth G Petty 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 Elizabeth G Petty,
2401 E Blackstock Rd,
Roebuck, SC 29376-3206
Ph: (864) 576-6151 | Mrs Elizabeth G Petty,
2401 E Blackstock Rd,
Roebuck, SC 29376-3206
Ph: (864) 576-6151 |
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