Dr Jan H Petri, MD in Collierville, TN - Medicare Otolaryngology

Dr Jan H Petri, MD is a medicare enrolled "Otolaryngology" physician in Collierville, Tennessee. Her current practice location is 2028 W Poplar Ave Ste 112, Collierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 861-2526.

Dr Jan H Petri is licensed to practice in Tennessee (license number 17612) 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 1033175682.

Contact Information

	Dr Jan H Petri, MD
	2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618
	(901) 861-2526
	(901) 861-2527

Physician's Profile

Full Name	Dr Jan H Petri
Gender	Female
Speciality	Otolaryngology
Location	2028 W Poplar Ave Ste 112, Collierville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033175682
Provider Enumeration Date: 04/24/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4981764305
Enrollment ID: I20081114000656

Medical Identifiers

Medical identifiers for Dr Jan H Petri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033175682	NPI	-	NPPES
3073227	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	17612 (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. Dr Jan H Petri 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
Dr Jan H Petri, MD 9554 Fox Hill Cir S, Germantown, TN 38139-6829 Ph: (901) 861-2526	Dr Jan H Petri, MD 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 Ph: (901) 861-2526

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Dr Jan H Petri, MD - Medicare Otolaryngology in Collierville, TN