Janis Petrie, ARNP is a
Registered Nurse - Psychiatric/mental Health based in Bandon, Oregon. Janis Petrie is licensed to practice in Kansas (license number 74552) and her current practice location is
48844 Highway 101, Bandon, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 329-2078.
NPI number for Janis Petrie is 1134283096 and her current mailing address is 48844 Highway 101, Bandon, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134283096.
Provider's Profile
| Full Name | Janis Petrie |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Psychiatric/mental Health |
|---|
| Location | 48844 Highway 101, Bandon, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134283096
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 04/03/2016
Medical Identifiers
Medical identifiers for Janis Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134283096 | NPI | - | NPPES |
| R164226 | Other | OR | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WC1500X | Registered Nurse - Community Health | 200440305RN (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 200450014NP (Oregon) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 74552 (Kansas) | Primary |
| 163W00000X | Registered Nurse | 45275 (Kansas) | Secondary |
| 163W00000X | Registered Nurse | 1335053052 (Kansas) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 201070011CNS-PP (Oregon) | Secondary |
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. Janis Petrie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Janis Petrie, ARNP 48844 Highway 101, Bandon, OR 97411-8232 Ph: () - | Janis Petrie, ARNP 48844 Highway 101, Bandon, OR 97411-8232 Ph: (541) 329-2078 |
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