Leonora K Petty is a Beaumont, Texas based psychiatrist with 51 years of experience in Child & Adolescent. She completed her graduation from Perelman School Of Med At The University Of Pennsylvania in 1973. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Leonora K Petty is P6242 for Psychiatry in Texas. Her current practice location is 2750 S 8th St, Beaumont. Patients can reach her at 409-839-1000. Leonora K Petty is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1194778894. Leonora K Petty has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Leonora K Petty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Leonora K Petty
Specialization:
Child & Adolescent
Gender:
Female
Credentials:
MD
Experience:
51+ years
Medical School Attended:
Perelman School Of Med At The University Of Pennsylvania
Graduation Year:
1973
Accepts Medicare Assignment:
Yes
Practice Address:
2750 S 8th St, Beaumont, Texas, 77701-7719
Phone:
409-839-1000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1153341946
Enrollment ID:
I20120524000424
NPI Number:
1194778894
NPI Enumeration Date:
17 May, 2006
NPI Last Update On:
20 Apr, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leonora K Petty are as mentioned below.
License Number
Specialization
State
Status
P6242
Psychiatry
Texas
Primary
20578
Child & Adolescent
Mississippi
Secondary
MD035524L
Child & Adolescent
Pennsylvania
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Leonora K Petty is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Spindletop Mhmr Services (1658268321)
11
Other Medical Identifiers:
Other legacy medical identifiers associated with Leonora K Petty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
302I269052
Other
Mississippi
MEDICARE
109062
Medicaid
Alabama
04428702
Medicaid
Mississippi
1014016060001
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Leonora K Petty 2750 S 8th St, Beaumont, Texas
Zip:
77701-7719
Phone Number:
409-839-1000
Patients can reach Leonora K Petty at 2750 S 8th St, Beaumont, Texas or can call to book an appointment on 409-839-1000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.