Mrs Misty C Petras, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wellford, South Carolina. Her current practice location is
102 Astor St, Wellford, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 439-5338.
Mrs Misty C Petras is licensed to practice in South Carolina (license number 21997) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912341470.
Provider's Profile
Full Name | Mrs Misty C Petras |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 102 Astor St, Wellford, South Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Misty C Petras attended and graduated from in
NPI Data:
- NPI Number: 1912341470
- Provider Enumeration Date: 04/26/2013
- Last Update Date: 11/12/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Misty C Petras such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912341470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 106862 (South Carolina) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | 106862 (South Carolina) | Secondary |
163WS0200X | Registered Nurse - School | 106862 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 21997 (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 Misty C Petras 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 Misty C Petras, FNP 102 Astor St, Wellford, SC 29385-9622 Ph: (864) 439-5338 | Mrs Misty C Petras, FNP 102 Astor St, Wellford, SC 29385 Ph: (864) 439-5338 |
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