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MRS. CAITLEN M PETSCHKE PA-C
NPI 1558669986
Physician Assistant - Medical in Johnson City, TN

Active since March 09, 2011PECOS Enrolled
101 MED TECH PKWY, STE. 405, JOHNSON CITY, TN 37604(423) 929-2452(423) 929-2531 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Caitlen M Petschke Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAITLEN M PETSCHKE PA-C (NPI 1558669986) is an individual medical provider in Johnson City, Tennessee, licensed in Tennessee (2275) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558669986
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. CAITLEN M PETSCHKECredential: PA-C
Location Address101 MED TECH PKWY, STE. 405Johnson City, TN 37604-4007
Mailing Address101 Med Tech Pkwy, Ste. 405Johnson City, TN 37604-4007 · (423) 929-2452 · Fax (423) 929-2531
Phone(423) 929-2452
Fax(423) 929-2531
Sole ProprietorNo
Enumeration DateMarch 9, 2011
Last NPPES UpdateAugust 15, 2013
✔ NPI 1558669986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in TN · 2275✔ Licensed in LA · PA200351
101 MED TECH PKWY, Johnson City, TN 37604
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Other Identifiers 1

Medicaid2158848LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Caitlen M Petschke Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FERNANDO BENDFELDT M.D.
Psychiatry & Neurology (Psychiatry)
101 MED TECH PKWY, STE 407
JOHNSON CITY, TN 37604
Washington County (423) 283-8801
DR. MARK J WILKINSON MD
Family Medicine
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Washington County (423) 926-6266
DR. CLAY W RUNNELS MD
Emergency Medicine
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Washington County (423) 926-6266
DR. SHANE M ADAMS MD
Family Medicine
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Washington County (423) 926-6266
JOSE VILLANUEVA PT
Physical Medicine & Rehabilitation
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Washington County (423) 232-6120
CHARLES MARCUS COOPER PHD
Psychologist
101 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 232-6120
ILLURI RADHIKA REDDY MD
Internal Medicine
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Washington County (423) 926-6266
SUZANNE C ALLEN MD
Emergency Medicine
101 MED TECH PKWY, SUITE 300
JOHNSON CITY, TN 37604
Washington County (423) 926-6266

Frequently Asked Questions

What is Caitlen Petschke's NPI number?

The NPI number assigned to this healthcare provider is 1558669986, enumerated as an "individual" on March 09, 2011.

Where is the provider located?

The provider is located at 101 MED TECH PKWY STE. 405 JOHNSON CITY, TN 37604 and the phone number is (423) 929-2452.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

What insurance does Caitlen Petschke accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.