Dr Heather M Pettis, MD | |
200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 | |
(804) 765-5529 | |
Not Available |
Full Name | Dr Heather M Pettis |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 200 Medical Park Blvd, Petersburg, Virginia |
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 |
---|---|---|---|
1689825879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101249421 (Virginia) | Primary |
207P00000X | Emergency Medicine | A108901 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southside Regional Medical Center | Petersburg, VA | Hospital |
Cjw Medical Center | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alexandria Springfield Emergency Physicians Pc | 1052558954 | 42 |
Emergency Coverage Llc | 3072412592 | 391 |
Entity Name | Emergency Medicine Associates Pa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
Entity Name | Alexandria Springfield Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather M Pettis, MD 200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 Ph: (804) 765-5529 | Dr Heather M Pettis, MD 200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 Ph: (804) 765-5529 |
Dr. Michael W Cieslinski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Dr. Mark Militana, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 804 South Adams Street, Petersburg, VA 23803 Phone: 804-862-5680 Fax: 804-862-5698 | |
Benedict Coleman Del Buono, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Robert Schulz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Mrs. Michelle Lorene Bryant-albright, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-957-6106 | |
Suel Peter Kim, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 | |
Brendan D Mccay, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Em: Emergency Medicine, Petersburg, VA 23805 Phone: 804-765-5000 |