Cory Pettit, in Westerville, OH - Medicare Dermatology

Cory Pettit, is a medicare enrolled "Dermatology" physician in Westerville, Ohio. His current practice location is 430 Altair Pkwy Ste 210, Westerville, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 898-7546.

Cory Pettit is licensed to practice in Ohio (license number 35.147858) 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 1093277840.

Contact Information

	Cory Pettit,
	430 Altair Pkwy Ste 210, Westerville, OH 43082-7647
	(614) 898-7546
	Not Available

Map and Direction

Physician's Profile

Full Name	Cory Pettit
Gender	Male
Speciality	Dermatology
Location	430 Altair Pkwy Ste 210, Westerville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093277840
Provider Enumeration Date: 04/02/2019
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6608100623
Enrollment ID: I20230628000508

Medical Identifiers

Medical identifiers for Cory Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093277840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	35.147858 (Ohio)	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. Cory Pettit allows following entities to bill medicare on his behalf.

Entity Name	Central Ohio Skin & Cancer Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922016864 PECOS PAC ID: 4688608870 Enrollment ID: O20050927000501

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. Cory 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
Cory Pettit, The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 Ph: (614) 293-3989	Cory Pettit, 430 Altair Pkwy Ste 210, Westerville, OH 43082-7647 Ph: (614) 898-7546

Reviews and Comments

Dermatology Doctors in Westerville, OH

Dr. Joshua A Grosshandler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 235 W Schrock Rd, Westerville, OH 43081 Phone: 614-895-0400
James W Finn, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 660 Cooper Rd, Ste 400, Westerville, OH 43081 Phone: 614-898-7546 Fax: 614-794-4294
Dr. Susan C Massick, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6100 N Hamilton Rd, Westerville, OH 43081 Phone: 614-293-1707 Fax: 614-293-1716
Rosina P Lin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 235 W Schrock Rd, Westerville, OH 43081 Phone: 614-895-0400 Fax: 614-895-2911
Jess J Demaria, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 430 Altair Pkwy, Ste 210, Westerville, OH 43082 Phone: 614-898-7546 Fax: 614-794-4294
Dr. Thomas Richard Wenker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 430 Altair Pkwy, Ste 210, Westerville, OH 43082 Phone: 614-898-7546 Fax: 614-794-4294

Cory Pettit, - Medicare Dermatology in Westerville, OH