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Lainey Medine Petty , PA-C

Physician Assistant β€’ Eglin Afb, FL

Active NPI 1053577213 Individual Practitioner Female Practitioner
Practice location in NPPES

307 Boatner Rd Ste 114
Eglin Afb, FL 325421302

Call 8508838600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838600
Organization at the Same NPPES Address or Phone
Individual Provider Facility NPI 1376890293

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Lainey Petty as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eglin Afb and Florida

21 active clinicians are listed under Physician Assistant with a practice address in Eglin Afb, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eglin Afb

0% of these 21 clinicians have the CMS telehealth indicator.

14.3% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9107181

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES LA PA.2002.39RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1357103 (LA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Amber Allen , DO, MS

Obstetrics & Gynecology

NPI 1821445396

Doctor of Osteopathic Medicine (D.O.), Master of Science

Brandy Arrol , FNP

Nurse Practitioner - Family

NPI 1073804472

Family Nurse Practitioner

Dr. Rhoda Lyn Aure , MD

Internal Medicine - Nephrology

NPI 1851554166

Doctor of Medicine (M.D.)

Dr. Brady Bahr , MD

Radiology - Diagnostic Radiology

NPI 1306138128

Doctor of Medicine (M.D.)

Dr. Benjamin Bailes , MD

Internal Medicine

NPI 1801423173

Doctor of Medicine (M.D.)

Paul Baker

Emergency Medicine

NPI 1861132805

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 22, 2020

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

πŸ“
Updated Business Mailing Address June 22, 2020

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2020

Physician Assistant (license number reported to NPPES: LA PA.2002.39RX)

βœ…
NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2013

Registered at 1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 325476796 (Tel: 8508638203)

πŸ“
Business Mailing Address (Initial Record) August 06, 2013

Registered at 1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 325476796 (Tel: 8508638203)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2013

Recorded as LAINEY PETTY, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Physician Assistant (license number reported to NPPES: FL PA9107181)

🟒
Initial NPI Registration & Enumeration August 06, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053577213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2008
Last Update: June 22, 2020
Sole Proprietor: No

Other Physician Assistants in Eglin Afb

Healthcare providers in Eglin Afb

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.