Sam L Pettibon, DO in Federal Way, WA - Medicare Chiropractic Provider

Sam L Pettibon, DO is a medicare enrolled "Chiropractor - Rehabilitation" provider in Federal Way, Washington. He went to Life Chiropractic College - West and graduated in 1985 and has 39 years of diverse experience with area of expertise as Chiropractic. His current practice location is 30804 Pacific Hwy S, Federal Way, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 839-5644.

Sam L Pettibon is licensed to practice in Washington (license number 2174) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386860492.

Contact Information

	Sam L Pettibon, DO
	30804 Pacific Hwy S, Federal Way, WA 98003-4902
	(253) 839-5644
	(253) 839-2625

Map and Direction

Healthcare Provider's Profile

Full Name	Sam L Pettibon
Gender	Male
Speciality	Chiropractic
Experience	39 Years
Location	30804 Pacific Hwy S, Federal Way, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sam L Pettibon attended and graduated from Life Chiropractic College - West in 1985

NPI Data:

NPI Number: 1386860492
Provider Enumeration Date: 04/17/2007
Last Update Date: 05/02/2012

Medicare PECOS Information:

PECOS PAC ID: 3678721099
Enrollment ID: I20120910000606

Medical Identifiers

Medical identifiers for Sam L Pettibon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386860492	NPI	-	NPPES
PE5678	Other	WA	REGENCE INSURANCE PROVIDE
2007078	Medicaid	WA
73321	Other	WA	L & I PROVIDER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NR0400X	Chiropractor - Rehabilitation	2174 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sam L Pettibon allows following entities to bill medicare on his behalf.

Provider Name	Pettibon Chiropractic Clinic Of Federal Way, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134487846 PECOS PAC ID: 2860640281 Enrollment ID: O20120910000587

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. Sam L Pettibon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sam L Pettibon, DO 30804 Pacific Hwy S, Federal Way, WA 98003-4902 Ph: (253) 839-5644	Sam L Pettibon, DO 30804 Pacific Hwy S, Federal Way, WA 98003-4902 Ph: (253) 839-5644

Reviews and Comments

Chiropractor in Federal Way, WA

Dr. Gregory Robert Johnson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 33400 13th Pl S, Federal Way, WA 98003 Phone: 253-838-6070 Fax: 253-838-6069
Joeviel Manzanilla, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1426 S 324th St Ste B115, Federal Way, WA 98003 Phone: 425-418-2880
Dr. Michael Keith Bastron, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1010 S 336th Street Suite 120, Federal Way, WA 98003 Phone: 253-838-5385 Fax: 253-838-4540
Dr. Kevin Allan Roemer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1107 S 347th Pl, Federal Way, WA 98003 Phone: 253-927-4500
Dr. Michael K Kinnear, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 30821 Pacific Hwy S, Federal Way, WA 98003 Phone: 253-839-8608 Fax: 253-941-6821
Dr. Edward H. Yee, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1107 S 347th Pl, Federal Way, WA 98003 Phone: 253-838-3777 Fax: 253-874-6874
Garcia Family Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1700 S 305th Pl Ste C, Federal Way, WA 98003 Phone: 253-200-1989

Sam L Pettibon, DO - Medicare Chiropractor in Federal Way, WA