Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Gail D Petteruti, PAC

Individual provider Surgical Physician Assistant · NPI 1295768356

MS. Gail D Petteruti, PAC is a Physician Assistant in Seattle, Washington. Qualified in 2001, 25 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
25
Licensed in
WA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2409 N 45th St
Seattle, WA 98103-6907
Phone: (206) 633-8100
Fax: (206) 633-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10004209 (WA)

Record details

NPI number1295768356
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESOctober 10, 2011
Mailing address805 Madison St, Suite 901, Seattle, WA 98104-1172

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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