Mrs Tia Leanne Petrenko, MS, CCC-SLP in Fpo, AP - Medicare Speech-Language Pathologist Provider

Mrs Tia Leanne Petrenko, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fpo, Armed Forces Pacific. Her current practice location is Psc 475 Box 1, Fpo, Armed Forces Pacific. You can reach out to her office (for appointments etc.) via phone at (315) 243-7260.

Mrs Tia Leanne Petrenko is licensed to practice in * (Not Available) (license number ) 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 1457825770.

Contact Information

	Mrs Tia Leanne Petrenko, MS, CCC-SLP
	Psc 475 Box 1, Fpo, AP 96350-1200
	(315) 243-7260
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tia Leanne Petrenko
Gender	Female
Speciality	Speech-language Pathologist
Location	Psc 475 Box 1, Fpo, Armed Forces Pacific
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457825770
Provider Enumeration Date: 01/20/2019
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0840624664
Enrollment ID: I20200102000820

Medical Identifiers

Medical identifiers for Mrs Tia Leanne Petrenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457825770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

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. Mrs Tia Leanne Petrenko allows following entities to bill medicare on her behalf.

Provider Name	Kentucky Easter Seal Society Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497398663 PECOS PAC ID: 3274619051 Enrollment ID: O20200127000329

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. Mrs Tia Leanne Petrenko 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
Mrs Tia Leanne Petrenko, MS, CCC-SLP Psc 475 Box 1, Fpo, AP 96350-1200 Ph: (315) 243-7260	Mrs Tia Leanne Petrenko, MS, CCC-SLP Psc 475 Box 1, Fpo, AP 96350-1200 Ph: (315) 243-7260

Reviews and Comments

Speech-Language Pathologist in Fpo, AP

Ms. Holly Eun Hee Gangwer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Psc 561 Box 1877, Fpo, AP 96310 Phone: 011-827-794180
Kati Conners, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Psc 482, Fpo, AP 96362 Phone: 334-819-9511
Mrs. Kristin Rachel Blake, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96367 Phone: 011-816-117342747
Mrs. Paige Christine Potter, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6162d- Camp Lester, Fpo, AP 96362 Phone: 011-816-117468093
Barbara Jean Neal, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Usnh Yokosuka Japan, Psc 475 Box 1, Fpo, AP 96350 Phone: 011-814-68165564 Fax: 011-814-68168650
Ms. Edna E. Nyang, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Psc 482, Fpo, AP 96362 Phone: 611-646-7723
Kimberly Lowery, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 215-264-3402

Mrs Tia Leanne Petrenko, MS, CCC-SLP - Medicare Speech-Language Pathologist in Fpo, AP