Jeffrey Robert Petra, PHD in Olympia, WA - Medicare Psychologist Provider

Jeffrey Robert Petra, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Olympia, Washington. His current practice location is 1800 Cooper Point Rd Sw Ste 17, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 754-4662.

Jeffrey Robert Petra is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487739603.

Contact Information

	Jeffrey Robert Petra, PHD
	1800 Cooper Point Rd Sw Ste 17, Olympia, WA 98502-1179
	(360) 754-4662
	(360) 352-3289

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Robert Petra
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	1800 Cooper Point Rd Sw Ste 17, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487739603
Provider Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486875580
Enrollment ID: I20141014001394

Medical Identifiers

Medical identifiers for Jeffrey Robert Petra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487739603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (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. Jeffrey Robert Petra 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
Jeffrey Robert Petra, PHD Po Box 11009, Olympia, WA 98508-1009 Ph: (360) 352-2037	Jeffrey Robert Petra, PHD 1800 Cooper Point Rd Sw Ste 17, Olympia, WA 98502-1179 Ph: (360) 754-4662

Reviews and Comments

Psychologist in Olympia, WA

Dr. Lori Woehler, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9101 Steilacoom Rd Se Unit 26, Olympia, WA 98513 Phone: 425-785-1553
Ms. Dana Elise Shaw, MD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3436 Mary Elder Rd Ne, Olympia, WA 98506 Phone: 360-528-2590
Dr. David Peter Monson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2633a Parkmont Ln Sw, Ste F, Olympia, WA 98502 Phone: 360-870-8744 Fax: 360-352-3289
Xinyi Liu, DBH, RDN Psychologist Medicare: Medicare Enrolled Practice Location: 3435 Martin Way E Ste C, Olympia, WA 98506 Phone: 786-838-3890
Dr. Terilee Wingate, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3430 Pacific Ave Se Ste A6, Pmb 308, Olympia, WA 98501 Phone: 360-789-7918
Dr. John Richter Van Eenwyk, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 State Ave Ne, Olympia, WA 98506 Phone: 360-352-2974
Dr. Patricia Marie Short, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 State Ave Ne, Olympia, WA 98506 Phone: 360-709-3400 Fax: 360-956-1234

Jeffrey Robert Petra, PHD - Medicare Psychologist in Olympia, WA