Dr Mark Edgar Pettay, DC is a
Chiropractor based in Groveport, Ohio. Dr Mark Edgar Pettay is licensed to practice in Ohio (license number 1755) and his current practice location is
495 Main St, Suite D, Groveport, Ohio. He can be reached at his office (for appointments etc.) via phone at
(614) 836-7227.
NPI number for Dr Mark Edgar Pettay is 1407979313 and his current mailing address is 495 Main St, Suite D, Groveport, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407979313.
Healthcare Provider's Profile
| Full Name | Dr Mark Edgar Pettay |
|---|
| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 495 Main St, Groveport, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407979313
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark Edgar Pettay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407979313 | NPI | - | NPPES |
| 311462245 | Other | OH | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1755 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Edgar Pettay is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Edgar Pettay, DC
495 Main St, Suite D,
Groveport, OH 43125-1184
Ph: (614) 836-7227 | Dr Mark Edgar Pettay, DC
495 Main St, Suite D,
Groveport, OH 43125-1184
Ph: (614) 836-7227 |
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