Charissa Joy Pettyjohn, MD in Boston, MA - Medicare Obstetrics/gynecology

Charissa Joy Pettyjohn, MD is a medicare enrolled "Obstetrics & Gynecology - Hospice And Palliative Medicine" physician in Boston, Massachusetts. She went to Medical College Of Wisconsin and graduated in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Commonwealth Ob-gyn, Pc and her current practice location is 750 Washington St., Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 636-0265.

Charissa Joy Pettyjohn is licensed to practice in Massachusetts (license number 225481) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861614711.

Contact Information

	Charissa Joy Pettyjohn, MD
	750 Washington St., Boston, MA 02111
	(617) 636-0265
	Not Available

Map and Direction

Physician's Profile

Full Name	Charissa Joy Pettyjohn
Gender	Female
Speciality	Obstetrics/gynecology
Experience	19 Years
Location	750 Washington St., Boston, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charissa Joy Pettyjohn attended and graduated from Medical College Of Wisconsin in 2005

NPI Data:

NPI Number: 1861614711
Provider Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567508146
Enrollment ID: I20091013000278

Medical Identifiers

Medical identifiers for Charissa Joy Pettyjohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861614711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VH0002X	Obstetrics & Gynecology - Hospice And Palliative Medicine	225481 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brigham And Women's Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commonwealth Ob-gyn, Pc	5890885222	6

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. Charissa Joy Pettyjohn allows following entities to bill medicare on her behalf.

Entity Name	Commonwealth Ob-gyn, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912082694 PECOS PAC ID: 5890885222 Enrollment ID: O20071221000138

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. Charissa Joy Pettyjohn 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
Charissa Joy Pettyjohn, MD 19 Peverell St, Apt 3, Dorchester, MA 02125 Ph: (857) 212-3169	Charissa Joy Pettyjohn, MD 750 Washington St., Boston, MA 02111 Ph: (617) 636-0265

Reviews and Comments

Obstetrics & Gynecology Doctors in Boston, MA

Sheela S Maru, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798
Dr. Devon Abt Harris, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave # Shapiro8, Boston, MA 02215 Phone: 617-667-3736 Fax: 617-667-7493
Maureen E Paul, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1055 Commonwealth Ave, Boston, MA 02215 Phone: 917-208-9521
Charles-chidi W Obasiolu, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Ctr For Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-2987 Fax: 617-421-2989
Dr. Erik M Clinton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 750 Washington St, Boston, MA 02111 Phone: 617-636-5000
Evelyn Hall, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Boston, MA 02111 Phone: 269-552-8685
Toni Beth Walzer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 Longwood Avenue, Adolescent Gynecology, Boston, MA 02115 Phone: 617-355-5785

Charissa Joy Pettyjohn, MD - Medicare Obstetrics/gynecology in Boston, MA