Ms Stephanie Joy Petty, PA-C is a
Physician Assistant based in Crowley, Texas. Ms Stephanie Joy Petty is licensed to practice in * (Not Available) (license number ) and her current practice location is
1005 S Crowley Rd, Crowley, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 297-4455.
NPI number for Ms Stephanie Joy Petty is 1407161870 and her current mailing address is 1005 S Crowley Rd, Crowley, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407161870.
Provider's Profile
| Full Name | Ms Stephanie Joy Petty |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1005 S Crowley Rd, Crowley, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407161870
- Provider Enumeration Date: 08/10/2010
- Last Update Date: 09/08/2013
Medical Identifiers
Medical identifiers for Ms Stephanie Joy Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407161870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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 Stephanie Joy 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 |
|---|
Ms Stephanie Joy Petty, PA-C
1005 S Crowley Rd,
Crowley, TX 76036-3698
Ph: (817) 297-4455 | Ms Stephanie Joy Petty, PA-C
1005 S Crowley Rd,
Crowley, TX 76036-3698
Ph: (817) 297-4455 |
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