Carolyn K Pettit, MD | |
9003 E Shea Blvd, Department Of Pathology, Scottsdale, AZ 85260-6709 | |
(480) 323-3383 | |
(480) 323-3358 |
Full Name | Carolyn K Pettit |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 9003 E Shea Blvd, Scottsdale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063489474 | NPI | - | NPPES |
187056 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20042 (Arizona) | Primary |
Entity Name | Scottsdale Pathology Consultants Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023086634 PECOS PAC ID: 9638154735 Enrollment ID: O20040622001617 |
Mailing Address | Practice Location Address |
---|---|
Carolyn K Pettit, MD Po Box 740968, Dallas, TX 75374-0968 Ph: (480) 323-3383 | Carolyn K Pettit, MD 9003 E Shea Blvd, Department Of Pathology, Scottsdale, AZ 85260-6709 Ph: (480) 323-3383 |
Hany Kamel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 6210 E Oak St, Scottsdale, AZ 85257 Phone: 800-288-2199 | |
Richard A Bernert, MD Pathology Medicare: Medicare Enrolled Practice Location: 9060 E Via Linda # 9098, Scottsdale, AZ 85258 Phone: 480-275-2494 | |
Dr. Shem Altman, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 10505 N 69th St, Suite 600, Scottsdale, AZ 85253 Phone: 480-629-4008 | |
Steven D Gurley, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 9003 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-323-3383 Fax: 480-323-3358 | |
Dr. Florencia Anatelli, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5010 E Shea Blvd Ste 130, Scottsdale, AZ 85254 Phone: 602-494-1817 Fax: 602-494-7103 | |
Matthew James Horne, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 8035 N 85th Way, Scottsdale, AZ 85258 Phone: 203-688-2259 |