Elizabeth A Petcov, CRNP in Lebanon, PA - Medicare Nurse Practitioner

Elizabeth A Petcov, CRNP is a medicare enrolled "Nurse Practitioner" in Lebanon, Pennsylvania. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellspan Medical Group and her current practice location is 252 S 4th St, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 270-4876.

Elizabeth A Petcov is licensed to practice in Pennsylvania (license number SP017652) 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 1720504152.

Contact Information

	Elizabeth A Petcov, CRNP
	252 S 4th St, Lebanon, PA 17042-6111
	(717) 270-4876
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth A Petcov
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	252 S 4th St, Lebanon, Pennsylvania
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:

Elizabeth A Petcov graduated from nursing school in 2017

NPI Data:

NPI Number: 1720504152
Provider Enumeration Date: 08/17/2017
Last Update Date: 11/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2466718283
Enrollment ID: I20171113000143

Medical Identifiers

Medical identifiers for Elizabeth A Petcov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720504152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP017652 (Pennsylvania)	Primary
363LF0000X	Nurse Practitioner - Family	MC4527581 (Pennsylvania)	Secondary
208M00000X	Hospitalist	SP017652 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Hospital	Lebanon, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellspan Medical Group	1951213115	2052

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. Elizabeth A Petcov allows following entities to bill medicare on her behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

Entity Name	Good Samaritan Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558749846 PECOS PAC ID: 5496728172 Enrollment ID: O20040819000854

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. Elizabeth A Petcov 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
Elizabeth A Petcov, CRNP 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-4051	Elizabeth A Petcov, CRNP 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-4876

Reviews and Comments

Nurse Practitioner Nurses in Lebanon, PA

Mrs. Alina N Glazunova, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452
Mr. Neil Baksh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Norman Dr, Lebanon, PA 17042 Phone: 717-274-5500
Andrea Bachman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 844 Tuck St, Lebanon, PA 17042 Phone: 717-639-3150
Maria Michelle Druckman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621
Mrs. Kaley Elizabeth Barrett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639
Kathy Zubik, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Ash Ln, Lebanon, PA 17042 Phone: 717-304-1779
Jennifer Anne Noggle, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754

Elizabeth A Petcov, CRNP - Medicare Nurse Practitioner in Lebanon, PA