| Alysa Lynn Petrik, NP | |
|
355 Lincoln Ave, Bellevue, PA 15202-3755 | |
| (412) 761-3000 | |
| Not Available |
| Full Name | Alysa Lynn Petrik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 355 Lincoln Ave, Bellevue, Pennsylvania |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447911326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024888 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Surgical Associates, Inc. | 3577566371 | 27 |
| Encore Clinical Services Llc | 5991177313 | 51 |
| Ohio Wound Care Associates Llc | 7719393032 | 17 |
| Geskin Medical Llc | 4981006640 | 19 |
| Encore Clinical Services - Pa Llc | 0345695268 | 7 |
| Entity Name | Cleveland Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831140003 PECOS PAC ID: 3577566371 Enrollment ID: O20060817000037 |
| Entity Name | Ohio Wound Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659965457 PECOS PAC ID: 7719393032 Enrollment ID: O20210311002489 |
| Entity Name | Encore Clinical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184346140 PECOS PAC ID: 5991177313 Enrollment ID: O20230214000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Alysa Lynn Petrik, NP 355 Lincoln Ave, Bellevue, PA 15202-3755 Ph: (412) 761-3000 | Alysa Lynn Petrik, NP 355 Lincoln Ave, Bellevue, PA 15202-3755 Ph: (412) 761-3000 |
Mr. Martin Elkanah Omukhango, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 362 Lincoln Ave, Bellevue, PA 15202 Phone: 412-734-1100 | |
Dianne Lynne Pettis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 Lincoln Ave, Bellevue, PA 15202 Phone: 412-761-3000 |