LAINEY MEDINE PETTY (PA-C) – Physician Assistant, NPI 1053577213
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAINEY MEDINE PETTY (PA-C)
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-04
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32542)
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