| Lainey Medine Petty, PA-C | |
|
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
| (850) 883-8600 | |
| Not Available |
| Full Name | Lainey Medine Petty |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053577213 | NPI | - | NPPES |
| 1357103 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.2002.39RX (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | PA9107181 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lainey Medine Petty, PA-C 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: () - | Lainey Medine Petty, PA-C 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 |
Trevor Graham Dell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4747 Memorial Loop, Eglin Afb, Eglin Afb, FL 32578 Phone: 508-857-2528 | |
Mrs. Jennifer Paccassi, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Heather Elaine Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Mr. Jason Thomas Crays, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Hayley Karr, Physician Assistant Medicare: Medicare Enrolled Practice Location: 340 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Thomas L. Williams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8349 Fax: 850-883-8247 |