Penny Petrik, EDS in Madison, SD - Psychologist

Penny Petrik, EDS is a Psychologist - School based in Madison, South Dakota. Penny Petrik is licensed to practice in South Dakota (license number 63594-2) and her current practice location is 820 N Washington Ave, Heartland Building, Madison, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 256-5555.

NPI number for Penny Petrik is 1265985774 and her current mailing address is 820 N Washington Ave, Heartland Building, Madison, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265985774.

Contact Information

	Penny Petrik, EDS
	820 N Washington Ave, Heartland Building, Madison, SD 57042-1735
	(605) 256-5555
	Not Available

Healthcare Provider's Profile

Full Name	Penny Petrik
Gender	Female
Speciality	Psychologist - School
Location	820 N Washington Ave, Madison, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1265985774
Provider Enumeration Date: 08/02/2016
Last Update Date: 08/02/2016

Medical Identifiers

Medical identifiers for Penny Petrik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265985774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	63594-2 (South Dakota)	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. Penny Petrik is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Penny Petrik, EDS 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 Ph: (605) 256-5555	Penny Petrik, EDS 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 Ph: (605) 256-5555

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Psychologist in Madison, SD

Lance Koenig, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 Phone: 605-256-5555
Mrs. Renae Christensen, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 N. Washington Ave., Madison, SD 57042 Phone: 605-256-5555
Cara Sommerlot, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 N Washington Ave, Madison, SD 57042 Phone: 605-256-5555

Penny Petrik, EDS - Psychologist in Madison, SD