| Lynn C Petras, PHD | |
|
5701 Riley Rd, Ooltewah, TN 37363-6883 | |
| (423) 326-1258 | |
| Not Available |
| Full Name | Lynn C Petras |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 38 Years |
| Location | 5701 Riley Rd, Ooltewah, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710059340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000001679 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 73 |
| Key Rehabilitation, Inc | 9638086432 | 41 |
| Brownsville Medical Clinic, P.a. | 0547339772 | 68 |
| Bh Services Southeast 1 Pc | 7012457054 | 68 |
| Key Rehabilitation, Inc | 9638086432 | 41 |
| Entity Name | Key Rehabilitation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528136249 PECOS PAC ID: 9638086432 Enrollment ID: O20040609001217 |
| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Entity Name | Bh Services Southeast 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164251526 PECOS PAC ID: 7012457054 Enrollment ID: O20241023003002 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn C Petras, PHD 5701 Riley Rd, Ooltewah, TN 37363-6883 Ph: (423) 326-1258 | Lynn C Petras, PHD 5701 Riley Rd, Ooltewah, TN 37363-6883 Ph: (423) 326-1258 |
Dr. Kenneth Neal, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8321 Troubadour Way, Ooltewah, TN 37363 Phone: 706-455-5725 Fax: 706-632-3585 | |
Stephen Clark Rutledge, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9123 Pleasant Ln, Ooltewah, TN 37363 Phone: 731-377-0088 |