Caitlin Amanda Petry, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Saint Peters, Missouri. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Kansas Pa and her current practice location is
400 Mid Rivers Mall Dr, Saint Peters, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 279-1516.
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 | 7 Years |
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| Location | 400 Mid Rivers Mall Dr, Saint Peters, 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. |
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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: 11/27/2024
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 |
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| 1205303948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RN0300X | Internal Medicine - Nephrology | 2018040229 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 2018040229 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 209025210 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2019039233 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Minuteclinic Diagnostic Of Kansas Pa | 7416043807 | 104 |
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 | 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 | Minuteclinic Diagnostic Of Kansas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629005558
PECOS PAC ID: 7416043807
Enrollment ID: O20071017000125 |
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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 |
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Caitlin Amanda Petry, MSN, FNP-C
400 Mid Rivers Mall Dr,
Saint Peters, MO 63376-1577
Ph: (636) 279-1516 | Caitlin Amanda Petry, MSN, FNP-C
400 Mid Rivers Mall Dr,
Saint Peters, MO 63376-1577
Ph: (636) 279-1516 |
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