| 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 |
|---|---|---|
| Key Rehabilitation Inc | 9638086432 | 59 |
| Inpatient Consultants Of Georgia, Inc | 2264539618 | 13 |
| Brownsville Medical Clinic, P.a. | 0547339772 | 61 |
| Bh Services Southeast 1 Pc | 7012457054 | 96 |
| Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 74 |
| Key Rehabilitation Inc | 9638086432 | 59 |
| Entity Name | Key Rehabilitation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679328975 PECOS PAC ID: 9638086432 Enrollment ID: O20240816003204 |
| 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: Medicare Enrolled 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 |
Sarah Otis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6011 Chesterton Way Ste 209, Ooltewah, TN 37363 Phone: 423-414-4997 |
Ms. Angelica Soto Batchelder, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 9511 Silver Stone Ln, Ooltewah, TN 37363 Phone: 951-776-6752 |