Mrs Tia Leanne Petrenko, MS, CCC-SLP - Medicare Speech-Language Pathologist in Fpo, AP

Mrs Tia Leanne Petrenko, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fpo, Armed Forces Pacific. Her current practice location is Psc 475 Box 1, Fpo, Armed Forces Pacific. You can reach out to her office (for appointments etc.) via phone at (315) 243-7260.

Mrs Tia Leanne Petrenko is licensed to practice in * (Not Available) (license number ) 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 1457825770.

Contact Information

Mrs Tia Leanne Petrenko, MS, CCC-SLP
Psc 475 Box 1,
Fpo, AP 96350-1200
(315) 243-7260
Not Available



Healthcare Provider's Profile

Full NameMrs Tia Leanne Petrenko
GenderFemale
SpecialitySpeech-language Pathologist
LocationPsc 475 Box 1, Fpo, Armed Forces Pacific
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457825770
  • Provider Enumeration Date: 01/20/2019
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840624664
  • Enrollment ID: I20200102000820

Medical Identifiers

Medical identifiers for Mrs Tia Leanne Petrenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457825770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))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. Mrs Tia Leanne Petrenko allows following entities to bill medicare on her behalf.
Provider NameKentucky Easter Seal Society Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497398663
PECOS PAC ID: 3274619051
Enrollment ID: O20200127000329

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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. Mrs Tia Leanne Petrenko 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
Mrs Tia Leanne Petrenko, MS, CCC-SLP
Psc 475 Box 1,
Fpo, AP 96350-1200

Ph: (315) 243-7260
Mrs Tia Leanne Petrenko, MS, CCC-SLP
Psc 475 Box 1,
Fpo, AP 96350-1200

Ph: (315) 243-7260

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Speech-Language Pathologist in Fpo, AP

Ms. Holly Eun Hee Gangwer, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Psc 561 Box 1877, Fpo, AP 96310
Phone: 011-827-794180    
Kati Conners,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Psc 482, Fpo, AP 96362
Phone: 334-819-9511    
Mrs. Kristin Rachel Blake, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Psc 482 Box 1600, Fpo, AP 96367
Phone: 011-816-117342747    
Mrs. Paige Christine Potter, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6162d- Camp Lester, Fpo, AP 96362
Phone: 011-816-117468093    
Barbara Jean Neal, M.S.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Usnh Yokosuka Japan, Psc 475 Box 1, Fpo, AP 96350
Phone: 011-814-68165564    Fax: 011-814-68168650
Ms. Edna E. Nyang, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Psc 482, Fpo, AP 96362
Phone: 611-646-7723    
Kimberly Lowery,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Psc 475 Box 1, Fpo, AP 96350
Phone: 215-264-3402    

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