Petrine Fardette is a Physician Assistant (Surgical) in the FORT LAUDERDALE area. Petrine Fardette primary office location is at 3000 BAYVIEW DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205858719 and the information was updated approximately 5 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
License Number | State |
---|---|
ME0044395 | FL |
PA3368 | FL |
Type/Issuer | Identifier | State |
---|---|---|
MEDICAID | 290935900 | FL |
Taxonomy | State | Primary? |
---|---|---|
Physician Assistant (Surgical) - Taxonomy Code 363AS0400X | FL | Y |
Physician Assistant - Taxonomy Code 363A00000X | FL | N |
Participates in PECOS: | YES |
PECOS Individual Enrollment ID: | |
PECOS Individual PAC ID: | |
Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
Eligible to order/refer Durable Medical Equipment (DME) | Yes |
Eligible to order/refer Home Health Agency (HHA) | Yes |
Eligible to order/refer Power Mobility Devices (PMD) | Yes |