Dr Nancy Jean Petrilak, OD is a medicare enrolled "Optometrist" provider in Langley Afb, Virginia. Her current practice location is
1st Medical Group, 77 Nealy Ave, Langley Afb, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 764-6973.
Dr Nancy Jean Petrilak is licensed to practice in California (license number 9998) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508089673.
Healthcare Provider's Profile
Full Name | Dr Nancy Jean Petrilak |
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Gender | Female |
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Speciality | Optometrist |
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Location | 1st Medical Group, Langley Afb, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508089673
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941436554
- Enrollment ID: I20131203001532
Medical Identifiers
Medical identifiers for Dr Nancy Jean Petrilak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508089673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 9998 (California) | 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. Dr Nancy Jean Petrilak 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 |
Dr Nancy Jean Petrilak, OD 104 Carnoustie Ct, Yorktown, VA 23693-5517 Ph: (757) 969-5368 | Dr Nancy Jean Petrilak, OD 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 Ph: (757) 764-6973 |
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