Matthew Jarvis Pettit, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Grand Jct, Colorado. His current practice location is
1801 I 70 Business Loop Ste B5, Grand Jct, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 245-3212.
Matthew Jarvis Pettit is licensed to practice in Colorado (license number 980) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871745117.
Healthcare Provider's Profile
Full Name | Matthew Jarvis Pettit |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1801 I 70 Business Loop Ste B5, Grand Jct, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871745117
- Provider Enumeration Date: 10/17/2008
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406398841
- Enrollment ID: I20240614002453
Medical Identifiers
Medical identifiers for Matthew Jarvis Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871745117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 980 (Colorado) | Primary |
106H00000X | Marriage & Family Therapist | 5696849-3902 (Utah) | Secondary |
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. Matthew Jarvis Pettit allows following entities to bill medicare on his behalf.
Entity Name | Deep Rivers Family Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912261603 PECOS PAC ID: 5597207936 Enrollment ID: O20240612004310 |
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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. Matthew Jarvis Pettit 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 |
Matthew Jarvis Pettit, MFT Po Box 23360, Glade Park, CO 81523-0360 Ph: (970) 623-4281 | Matthew Jarvis Pettit, MFT 1801 I 70 Business Loop Ste B5, Grand Jct, CO 81501-8002 Ph: (970) 245-3212 |
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