Dr Renee Jean Petitto, DC is a
Chiropractor based in Fort Drum, New York. Dr Renee Jean Petitto is licensed to practice in New York (license number X012216) and her current practice location is
11050 Mt Belvedere Blvd, Fort Drum, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 772-9292.
NPI number for Dr Renee Jean Petitto is 1639493562 and her current mailing address is 11050 Mt Belvedere Blvd, Fort Drum, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639493562.
Healthcare Provider's Profile
| Full Name | Dr Renee Jean Petitto |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 11050 Mt Belvedere Blvd, Fort Drum, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639493562
- Provider Enumeration Date: 03/22/2010
- Last Update Date: 01/06/2025
Medical Identifiers
Medical identifiers for Dr Renee Jean Petitto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639493562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | X012216 (New York) | 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 Renee Jean Petitto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Renee Jean Petitto, DC 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: () - | Dr Renee Jean Petitto, DC 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: (315) 772-9292 |
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