Dr Gretchen G Petterway, MD in Shreveport, LA

Dr Gretchen G Petterway, MD is a medicare enrolled "Pediatrics" physician in Shreveport, Louisiana. Her current practice location is 9220 Ellerbe Rd, Suite 700, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 681-5282.

Dr Gretchen G Petterway is licensed to practice in Louisiana (license number MD.202577) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174734818.

Contact Information

	Dr Gretchen G Petterway, MD
	9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106-6739
	(318) 681-5282
	(318) 681-5284

Map and Direction

Physician's Profile

Full Name	Dr Gretchen G Petterway
Gender	Female
Speciality	Pediatrics
Location	9220 Ellerbe Rd, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174734818
Provider Enumeration Date: 05/24/2007
Last Update Date: 01/02/2017

Medicare PECOS Information:

PECOS PAC ID: 9032263488
Enrollment ID: I20090819000430

Medical Identifiers

Medical identifiers for Dr Gretchen G Petterway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174734818	NPI	-	NPPES
1079219	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD.202577 (Louisiana)	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. Dr Gretchen G Petterway allows following entities to bill medicare on her behalf.

Entity Name	C H Wilkinson Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388

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. Dr Gretchen G Petterway 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
Dr Gretchen G Petterway, MD 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2711	Dr Gretchen G Petterway, MD 9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106-6739 Ph: (318) 681-5282

Reviews and Comments

Pediatrics Doctors in Shreveport, LA

Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815

Dr Gretchen G Petterway, MD - Medicare Pediatrics in Shreveport, LA