Caitlin Amanda Petry, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Hannibal, Missouri. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hannibal Regional Healthcare System Inc and her current practice location is
6500 Hospital Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 629-3400.
Caitlin Amanda Petry is licensed to practice in Missouri (license number 2019039233) 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 1205303948.
Physician's Profile
Full Name | Caitlin Amanda Petry |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 6500 Hospital Dr, Hannibal, Missouri |
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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. |
Medical Education and Training:
- Caitlin Amanda Petry graduated from medical school in 2018
NPI Data:
- NPI Number: 1205303948
- Provider Enumeration Date: 10/31/2018
- Last Update Date: 05/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143564005
- Enrollment ID: I20181203003460
Medical Identifiers
Medical identifiers for Caitlin Amanda Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205303948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RN0300X | Internal Medicine - Nephrology | 2018040229 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 209025210 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 2018040229 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2019039233 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hannibal Regional Healthcare System Inc | 1254236300 | 199 |
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. Caitlin Amanda Petry allows following entities to bill medicare on her behalf.
Entity Name | Midwest Nephrology Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528133535 PECOS PAC ID: 8224088802 Enrollment ID: O20050201000176 |
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Entity Name | Hannibal Regional Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
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Entity Name | Gateway Kidney Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457991598 PECOS PAC ID: 2567899644 Enrollment ID: O20200302002002 |
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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. Caitlin Amanda 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 |
Caitlin Amanda Petry, MSN, FNP-C 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 629-3400 | Caitlin Amanda Petry, MSN, FNP-C 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 629-3400 |
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