Heather Diane Petrovich, ARNP in Fort Myers, FL

Heather Diane Petrovich, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Myers, Florida. Her current practice location is 2776 Cleveland Ave, #802, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 336-6174.

Heather Diane Petrovich is licensed to practice in Florida (license number ARNP3088822) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336121599.

Contact Information

	Heather Diane Petrovich, ARNP
	2776 Cleveland Ave, #802, Fort Myers, FL 33901-5864
	(239) 336-6174
	(239) 335-6607

Map and Direction

Provider's Profile

Full Name	Heather Diane Petrovich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2776 Cleveland Ave, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336121599
Provider Enumeration Date: 11/15/2005
Last Update Date: 03/15/2017

Medicare PECOS Information:

PECOS PAC ID: 9537553003
Enrollment ID: I20220225001636

Medical Identifiers

Medical identifiers for Heather Diane Petrovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336121599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP3088822 (Florida)	Primary

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. Heather Diane Petrovich allows following entities to bill medicare on her behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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. Heather Diane Petrovich 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
Heather Diane Petrovich, ARNP 2532 Keystone Lake Dr, Cape Coral, FL 33909-2941 Ph: () -	Heather Diane Petrovich, ARNP 2776 Cleveland Ave, #802, Fort Myers, FL 33901-5864 Ph: (239) 336-6174

Reviews and Comments

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Heather Diane Petrovich, ARNP - Medicare Nurse Practitioner in Fort Myers, FL