Ms Kally Ann Petka, FNP - Medicare in Southbridge, MA

Ms Kally Ann Petka, FNP is a medicare enrolled "Nurse Practitioner" in Southbridge, Massachusetts. Her current practice location is 100 South St, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 765-9771.

Ms Kally Ann Petka is licensed to practice in Massachusetts (license number RN2277628) 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 1548892326.

Contact Information

Ms Kally Ann Petka, FNP
100 South St,
Southbridge, MA 01550-4051
(508) 765-9771
Not Available

Map and Direction




Provider's Profile

Full NameMs Kally Ann Petka
GenderFemale
Speciality
Experience Years
Location100 South St, Southbridge, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kally Ann Petka attended and graduated from in
  NPI Data:
  • NPI Number: 1548892326
  • Provider Enumeration Date: 02/10/2020
  • Last Update Date: 02/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Ms Kally Ann Petka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548892326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN2277628 (Massachusetts)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 Kally Ann Petka 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 AddressPractice Location Address
Ms Kally Ann Petka, FNP
100 South St Ste 1,
Southbridge, MA 01550-4047

Ph: (508) 765-9771
Ms Kally Ann Petka, FNP
100 South St,
Southbridge, MA 01550-4051

Ph: (508) 765-9771

Reviews and Comments


Nurse Practitioner Nurses in Southbridge, MA

Paulette Remijan, APN-BC
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Phone: 508-765-3093    Fax: 508-765-3047
Cindy Porter,
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Medicare: Accepting Medicare Assignments
Practice Location: 100 South Street, Southbridge, MA 01550
Phone: 508-765-9771    Fax: 508-909-7735
George M Gachuma, NP
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Practice Location: 29 Pine St, Southbridge, MA 01550
Phone: 508-765-9167    
Courtney Lynn Cowell, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 55 Sayles St, Southbridge, MA 01550
Phone: 508-764-2400    Fax: 508-909-7770
Agata Marta Menard, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 29 Pine St, Southbridge, MA 01550
Phone: 508-765-9167    
Allison Doreen Read, RN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 South Street, Southbridge, MA 01550
Phone: 508-765-9771    
Ariel Jane Bullock, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 South St Ste 102, Southbridge, MA 01550
Phone: 508-765-7860    Fax: 508-765-7861

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.