Ms Heather Dawn Petry, APRN - Medicare Nurse Practitioner in Conway, SC

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Ms Heather Dawn Petry, APRN is a medicare enrolled "Nurse Practitioner - Family" in Conway, South Carolina. Her current practice location is 2404 Wise Rd, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 365-8884.

Ms Heather Dawn Petry is licensed to practice in West Virginia (license number 70678) 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 1427464148.

Contact Information

Ms Heather Dawn Petry, APRN
2404 Wise Rd,
Conway, SC 29526-5521
(843) 365-8884
(843) 365-6697

Map and Direction




Provider's Profile

Full NameMs Heather Dawn Petry
GenderFemale
SpecialityNurse Practitioner - Family
Location2404 Wise Rd, Conway, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427464148
  • Provider Enumeration Date: 07/02/2014
  • Last Update Date: 07/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870713290
  • Enrollment ID: I20230526001247

Medical Identifiers

Medical identifiers for Ms Heather Dawn Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427464148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26858 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family APRN70678 (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 70678 (West Virginia)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. Ms Heather Dawn Petry allows following entities to bill medicare on her behalf.
Entity NameCenterwell Senior Primary Care SC JV PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962101501
PECOS PAC ID: 5294190252
Enrollment ID: O20230426000585

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. Ms Heather Dawn Petry 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 AddressPractice Location Address
Ms Heather Dawn Petry, APRN
2404 Wise Rd,
Conway, SC 29526-5521

Ph: (843) 365-8884		Ms Heather Dawn Petry, APRN
2404 Wise Rd,
Conway, SC 29526-5521

Ph: (843) 365-8884

Reviews and Comments


Nurse Practitioner Nurses in Conway, SC

Linda Lee Queen, ARPN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1608 Main St, Conway, SC 29526
Phone: 843-248-4700    Fax: 843-248-3145
Dr. Karen Jeanette Smith, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2996 E Highway 501, Conway, SC 29526
Phone: 843-347-2613    
Betsy L Paul, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1113 Church St, Conway, SC 29526
Phone: 843-248-6269    
Diana L Taylor, DNP, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 140 Professional Park Drive, Conway, SC 29526
Phone: 843-234-5678    
Catherine M Bartynski, AGPCNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 135 Professional Park Dr, Conway, SC 29526
Phone: 843-347-8765    Fax: 843-236-4746
Stephanie Miller, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 235 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-347-2121    
Alicia Faye Cartrette, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 847 Farrar Dr, Conway, SC 29526
Phone: 843-347-9487    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.