Carolyn Rene Petrencik, FNP-C is a medicare enrolled "Physical Medicine & Rehabilitation" in Cedar Hill, Texas. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cedar Hill Pain And Rehab, Pa and her current practice location is
716 N Highway 67 Ste 2, Cedar Hill, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 291-9165.
Carolyn Rene Petrencik is licensed to practice in Texas (license number 1070718) 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 1194470757.
Provider's Profile
| Full Name | Carolyn Rene Petrencik |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 716 N Highway 67 Ste 2, Cedar Hill, Texas |
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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:
- Carolyn Rene Petrencik graduated from nursing school in 2021
NPI Data:
- NPI Number: 1194470757
- Provider Enumeration Date: 02/12/2022
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921487190
- Enrollment ID: I20220617001138
Medical Identifiers
Medical identifiers for Carolyn Rene Petrencik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194470757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1070718 (Texas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1070718 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cedar Hill Pain And Rehab, Pa | 1052402989 | 6 |
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. Carolyn Rene Petrencik allows following entities to bill medicare on her behalf.
| Entity Name | Cedar Hill Pain & Rehab, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922148550
PECOS PAC ID: 1052402989
Enrollment ID: O20070807000762 |
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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. Carolyn Rene Petrencik 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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Carolyn Rene Petrencik, FNP-C
3408 Vista Lake Cir,
Mansfield, TX 76063-5834
Ph: (817) 919-9434 | Carolyn Rene Petrencik, FNP-C
716 N Highway 67 Ste 2,
Cedar Hill, TX 75104-2117
Ph: (972) 291-9165 |
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