Mr Chad Walter Petties Sr, - Medicare Couples Therapy in Mira Loma, CA

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Mr Chad Walter Petties Sr, is a medicare enrolled "Marriage & Family Therapist" provider in Mira Loma, California. His current practice location is 10551 Bellegrave Ave, Mira Loma, California. You can reach out to his office (for appointments etc.) via phone at (951) 488-2938.

Mr Chad Walter Petties Sr is licensed to practice in California (license number 92433) 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 1528398971.

Contact Information

Mr Chad Walter Petties Sr,
10551 Bellegrave Ave,
Mira Loma, CA 91752-1800
(951) 488-2938
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Chad Walter Petties Sr
GenderMale
SpecialityMarriage & Family Therapist
Location10551 Bellegrave Ave, Mira Loma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528398971
  • Provider Enumeration Date: 01/07/2010
  • Last Update Date: 09/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709327182
  • Enrollment ID: I20240925003275

Medical Identifiers

Medical identifiers for Mr Chad Walter Petties Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528398971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 92433 (California)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. Mr Chad Walter Petties Sr allows following entities to bill medicare on his behalf.
Entity NameGrow Healthcare Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080

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. Mr Chad Walter Petties Sr 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 AddressPractice Location Address
Mr Chad Walter Petties Sr,
3939 Thirtenth Street,
Riverside, CA 92507-4944

Ph: (951) 488-2938		Mr Chad Walter Petties Sr,
10551 Bellegrave Ave,
Mira Loma, CA 91752-1800

Ph: (951) 488-2938

Reviews and Comments


Marriage & Family Therapist in Mira Loma, CA

Nancy Yvonne Piper, MFTI
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 12202 Gathering Pl, Unit A, Mira Loma, CA 91752
Phone: 951-685-0958    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.