Ms Beverly Jean Petty, PA-C - Physician Assistant in Jacksonville, FL

Ms Beverly Jean Petty, PA-C is a Physician Assistant - Medical based in Jacksonville, Florida. Ms Beverly Jean Petty is licensed to practice in Florida (license number PA2942) and her current practice location is Naval Hospital, Occupational Health Clinic, 2080 Child Street, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 542-3500.

NPI number for Ms Beverly Jean Petty is 1003895129 and her current mailing address is 5337 Tilting Oaks Ct E, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003895129.

Contact Information

Ms Beverly Jean Petty, PA-C
Naval Hospital, Occupational Health Clinic, 2080 Child Street,
Jacksonville, FL 32214-0001
(904) 542-3500
Not Available

Map and Direction




Provider's Profile

Full NameMs Beverly Jean Petty
GenderFemale
SpecialityPhysician Assistant - Medical
LocationNaval Hospital, Occupational Health Clinic, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003895129
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Beverly Jean Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003895129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA2942 (Florida)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. Ms Beverly Jean 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 AddressPractice Location Address
Ms Beverly Jean Petty, PA-C
5337 Tilting Oaks Ct E,
Jacksonville, FL 32258-3422

Ph: (904) 268-7713
Ms Beverly Jean Petty, PA-C
Naval Hospital, Occupational Health Clinic, 2080 Child Street,
Jacksonville, FL 32214-0001

Ph: (904) 542-3500

Reviews and Comments


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