Mrs Misty C Petras, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wellford, South Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellford Medicine Llc and 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 | Nurse Practitioner |
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| Experience | 6 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. |
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Medical Education and Training:
- Mrs Misty C Petras graduated from nursing school in 2018
NPI Data:
- NPI Number: 1912341470
- Provider Enumeration Date: 04/26/2013
- Last Update Date: 11/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284973801
- Enrollment ID: I20190226002492
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 |
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| 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellford Medicine Llc | 3870953029 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Misty C Petras allows following entities to bill medicare on her behalf.
| Entity Name | Doctors Care, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069 |
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| Entity Name | Wellford Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407541022
PECOS PAC ID: 3870953029
Enrollment ID: O20230719001871 |
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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 |
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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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