Camille Lynn Petraitis, FNP in Charlotte, NC - Medicare Nurse Practitioner

Camille Lynn Petraitis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. She went to State University Of New York At Buffalo School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Charlotte-mecklenburg Hospital Authority and her current practice location is 1021 Morehead Medical Dr, Ste A, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 442-2000.

Camille Lynn Petraitis is licensed to practice in North Carolina (license number 5007028) 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 1164773073.

Contact Information

	Camille Lynn Petraitis, FNP
	1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990
	(980) 442-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Camille Lynn Petraitis
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1021 Morehead Medical Dr, Charlotte, North Carolina
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:

Camille Lynn Petraitis attended and graduated from State University Of New York At Buffalo School Of Medicine in 2012

NPI Data:

NPI Number: 1164773073
Provider Enumeration Date: 10/02/2012
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9739324997
Enrollment ID: I20150116000984

Medical Identifiers

Medical identifiers for Camille Lynn Petraitis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164773073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5007028 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Charlotte-mecklenburg Hospital Authority	2961310685	488

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. Camille Lynn Petraitis allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Camille Lynn Petraitis 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
Camille Lynn Petraitis, FNP Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Camille Lynn Petraitis, FNP 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 Ph: (980) 442-2000

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

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Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Camille Lynn Petraitis, FNP - Medicare Nurse Practitioner in Charlotte, NC