Charles Robert Pettit, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sonoma, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 1968 and has 56 years of diverse experience with area of expertise as Otolaryngology. 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 | Otolaryngology |
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| Experience | 56 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 University Of California, Irvine, California College Of Medicine in 1968
NPI Data:
- NPI Number: 1326183583
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 07/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507873395
- Enrollment ID: I20060320000654
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 |
Medical Facilities Affiliation
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. Charles Robert Pettit allows following entities to bill medicare on his behalf.
| Entity Name | Charles Robert Pettit Md A Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316268386
PECOS PAC ID: 4981736212
Enrollment ID: O20100721000711 |
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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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