Quintina B Petty, FNP in Shelby, NC - Medicare Nurse Practitioner

Quintina B Petty, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shelby, North 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 Lifesource Of North Carolina and her current practice location is 951 Wendover Height Dr, Shelby, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 487-4677.

Quintina B Petty is licensed to practice in North Carolina (license number 245972) 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 1851862734.

Contact Information

	Quintina B Petty, FNP
	951 Wendover Height Dr, Shelby, NC 28150-3565
	(704) 487-4677
	Not Available

Map and Direction

Provider's Profile

Full Name	Quintina B Petty
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	951 Wendover Height Dr, Shelby, North Carolina
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:

Quintina B Petty graduated from nursing school in 2018

NPI Data:

NPI Number: 1851862734
Provider Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1951649896
Enrollment ID: I20190219000947

Medical Identifiers

Medical identifiers for Quintina B Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851862734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	245972 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifesource Of North Carolina	7416132428	154

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. Quintina B Petty allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

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. Quintina B Petty 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
Quintina B Petty, FNP 951 Wendover Height Dr, Shelby, NC 28150-3565 Ph: () -	Quintina B Petty, FNP 951 Wendover Height Dr, Shelby, NC 28150-3565 Ph: (704) 487-4677

Reviews and Comments

Nurse Practitioner Nurses in Shelby, NC

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Karen Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 N Dekalb St, Shelby, NC 28150 Phone: 980-487-2100
Mrs. Betty C Morehead, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-482-0811
Gracie Pitchford Crowder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 N Dekalb St, Shelby, NC 28150 Phone: 980-487-2100
Mrs. Mary Catherine Mcdowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-482-0811
Mrs. Brittni Wyatt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E College Ave, Shelby, NC 28152 Phone: 704-434-6560
Brittany Blanton Dick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-2600

Quintina B Petty, FNP - Medicare Nurse Practitioner in Shelby, NC