Lynn C Petras, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ooltewah, Tennessee. She went to Vanderbilt University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc, Key Rehabilitation,inc and her current practice location is
5701 Riley Rd, Ooltewah, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 326-1258.
Lynn C Petras is licensed to practice in Tennessee (license number P0000001679) 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 1710059340.
Healthcare Provider's Profile
| Full Name | Lynn C Petras |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 36 Years |
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| Location | 5701 Riley Rd, Ooltewah, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lynn C Petras attended and graduated from Vanderbilt University School Of Medicine in 1988
NPI Data:
- NPI Number: 1710059340
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 09/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 6305096637
- Enrollment ID: I20121023000568
Medical Identifiers
Medical identifiers for Lynn C Petras such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710059340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | P0000001679 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 66 |
| Key Rehabilitation,inc | 9638086432 | 23 |
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. Lynn C Petras allows following entities to bill medicare on her behalf.
| Entity Name | Key Rehabilitation,inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528136249
PECOS PAC ID: 9638086432
Enrollment ID: O20040609001217 |
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| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541 |
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| Entity Name | Nv Pacs 2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263 |
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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. Lynn C Petras 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 |
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Lynn C Petras, PHD
5701 Riley Rd,
Ooltewah, TN 37363-6883
Ph: (423) 326-1258 | Lynn C Petras, PHD
5701 Riley Rd,
Ooltewah, TN 37363-6883
Ph: (423) 326-1258 |
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