Charles Robert Pettit, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sonoma, California. His current practice location is
181 Andrieux St Ste 106, Sonoma, California. You can reach out to his office (for appointments etc.) via phone at
(707) 931-6485.
Charles Robert Pettit is licensed to practice in California (license number A235594) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326183583.
Physician's Profile
| Full Name | Charles Robert Pettit |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 181 Andrieux St Ste 106, Sonoma, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Robert Pettit attended and graduated from in
NPI Data:
- NPI Number: 1326183583
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 07/15/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charles Robert Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326183583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | A235594 (California) | Primary |
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. Charles Robert 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 |
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Charles Robert Pettit, MD
Po Box 4489,
Carmel, CA 93921-4489
Ph: (707) 931-6485 | Charles Robert Pettit, MD
181 Andrieux St Ste 106,
Sonoma, CA 95476-6920
Ph: (707) 931-6485 |
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