Colleen Pettrey, MD | |
13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | |
(704) 302-8900 | |
Not Available |
Full Name | Colleen Pettrey |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 11 Years |
Location | 13640 Steelecroft Pkwy, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023455425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2018-02540 (North Carolina) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 87092 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolinas Medical Center | 4789597477 | 783 |
Entity Name | Carolinas Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | Mecklenburg Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364535 PECOS PAC ID: 9931196797 Enrollment ID: O20040426001334 |
Entity Name | The Charlotte-mecklenburg Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
Entity Name | Health Services Of Central Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20220309000245 |
Mailing Address | Practice Location Address |
---|---|
Colleen Pettrey, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Colleen Pettrey, MD 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 Ph: (704) 302-8900 |
Ryan Alan Williamson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-9437 | |
Soong Hyun Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211 Phone: 704-358-2700 Fax: 704-358-2716 | |
Dr. Richard David Jacobson, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4228 Brookfield Dr, Charlotte, NC 28210 Phone: 615-345-5400 | |
Dr. T Hemanth Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2607 E 7th St Ste 200, Charlotte, NC 28204 Phone: 704-449-6064 Fax: 704-731-0936 | |
Dr. Sumul Modi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5500 Executive Center Dr Ste 206, Charlotte, NC 28212 Phone: 984-777-9940 Fax: 877-794-5929 | |
Hristos Christopher Karanikas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Timothy Cooper King, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 |