Mrs Caitlen M Petschke, PA-C in Johnson City, TN

Mrs Caitlen M Petschke, PA-C is a medicare enrolled "Physician Assistant - Medical" in Johnson City, Tennessee. Her current practice location is 101 Med Tech Pkwy, Ste. 405, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 929-2452.

Mrs Caitlen M Petschke is licensed to practice in Tennessee (license number 2275) 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 1558669986.

Contact Information

	Mrs Caitlen M Petschke, PA-C
	101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007
	(423) 929-2452
	(423) 929-2531

Map and Direction

Provider's Profile

Full Name	Mrs Caitlen M Petschke
Gender	Female
Speciality	Physician Assistant - Medical
Location	101 Med Tech Pkwy, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558669986
Provider Enumeration Date: 03/09/2011
Last Update Date: 08/15/2013

Medicare PECOS Information:

PECOS PAC ID: 3678710456
Enrollment ID: I20130515000309

Medical Identifiers

Medical identifiers for Mrs Caitlen M Petschke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558669986	NPI	-	NPPES
2158848	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA200351 (Louisiana)	Secondary
363AM0700X	Physician Assistant - Medical	2275 (Tennessee)	Primary

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. Mrs Caitlen M Petschke 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
Mrs Caitlen M Petschke, PA-C 101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007 Ph: (423) 929-2452	Mrs Caitlen M Petschke, PA-C 101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007 Ph: (423) 929-2452

Reviews and Comments

Physician Assistant Nurses in Johnson City, TN

Chris F Strawn, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd Ste 12, Johnson City, TN 37604 Phone: 423-431-4946
Samuel William Cook Iii, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2410 Susannah Street, Johnson City, TN 37601 Phone: 423-282-9011 Fax: 423-282-0035
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James B Haire, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Professional Park Dr, Suite 21, Johnson City, TN 37604 Phone: 423-434-6300 Fax: 423-434-6312
Ashley P Seale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kingsley Cir, Johnson City, TN 37601 Phone: 423-213-3173
Amber Dykes, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615 Phone: 423-282-1480

Mrs Caitlen M Petschke, PA-C - Medicare Physician Assistant in Johnson City, TN