Erica Lynn Petry, MA in Hudson, WI - Medicare Counselor Provider

Erica Lynn Petry, MA is a medicare enrolled "Counselor - Professional" provider in Hudson, Wisconsin. Her current practice location is 2501 Hanley Rd Ste 201, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (534) 544-5247.

Erica Lynn Petry is licensed to practice in Wisconsin (license number 6017-125) 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 1336519255.

Contact Information

	Erica Lynn Petry, MA
	2501 Hanley Rd Ste 201, Hudson, WI 54016-8786
	(534) 544-5247
	(534) 544-5248

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Lynn Petry
Gender	Female
Speciality	Counselor - Professional
Location	2501 Hanley Rd Ste 201, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336519255
Provider Enumeration Date: 10/05/2015
Last Update Date: 04/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8224488754
Enrollment ID: I20231227000061

Medical Identifiers

Medical identifiers for Erica Lynn Petry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336519255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	16016-131 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	6017-125 (Wisconsin)	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. Erica Lynn Petry allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Erica Lynn Petry 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
Erica Lynn Petry, MA 2501 Hanley Rd Ste 201, Hudson, WI 54016-8786 Ph: (534) 544-5247	Erica Lynn Petry, MA 2501 Hanley Rd Ste 201, Hudson, WI 54016-8786 Ph: (534) 544-5247

Reviews and Comments

Counselor in Hudson, WI

Rochelle K Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St Ste 100, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438
Ms. Joan N Fuller, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 4th St, Suite 160, Hudson, WI 54016 Phone: 763-210-9966 Fax: 763-210-6886
Renee L. Vannocker, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Ste 100, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438
Amelia L Evans, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Suite 104, Hudson, WI 54016 Phone: 715-377-0000 Fax: 715-377-0010
William Oelke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Dominion Dr Ste A, Hudson, WI 54016 Phone: 612-327-6620 Fax: 952-938-8838
Sandra L Larson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6760
Dr. Leah A Burton, PSY.D., L.P. Counselor Medicare: Accepting Medicare Assignments Practice Location: 901 4th St, C/o Collaborative Counseling, Llc, Hudson, WI 54016 Phone: 715-760-4116 Fax: 763-210-6886

Erica Lynn Petry, MA - Medicare Counselor in Hudson, WI