Dr Opal E Pettis, MD in Washington, DC - Medicare Psychiatry & Neurology

Dr Opal E Pettis, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Washington, District Of Columbia. Her current practice location is 2301 M St Nw, Kaiser Permanente Northwest Dc Medical Center, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 419-6200.

Dr Opal E Pettis is licensed to practice in District Of Columbia (license number MD042343) 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 1083798060.

Contact Information

	Dr Opal E Pettis, MD
	2301 M St Nw, Kaiser Permanente Northwest Dc Medical Center, Washington, DC 20037-1427
	(202) 419-6200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Opal E Pettis
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	2301 M St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083798060
Provider Enumeration Date: 10/25/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8729269261
Enrollment ID: I20140902000452

Medical Identifiers

Medical identifiers for Dr Opal E Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083798060	NPI	-	NPPES
00A480650	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	042343 (District Of Columbia)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	A48065 (California)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD042343 (District Of Columbia)	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 Opal E Pettis allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Opal E Pettis 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 Opal E Pettis, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424	Dr Opal E Pettis, MD 2301 M St Nw, Kaiser Permanente Northwest Dc Medical Center, Washington, DC 20037-1427 Ph: (202) 419-6200

Reviews and Comments

Psychiatry & Neurology Doctors in Washington, DC

Mr. Joel Edward Kleinman, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3734 Jenifer St Nw, Washington, DC 20015 Phone: 202-363-4846 Fax: 202-363-2025
Dr. John Shill, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2220 20th St Nw, Ste 71, Washington, DC 20009 Phone: 202-320-4417
Dr. Jerrold Thomas O'rourke Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 New Hampshire Ave Nw, Ste 113, Washington, DC 20036 Phone: 202-463-6634 Fax: 202-463-6638
Dr. Jaime Suarez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2401 E Street Nw - M/med/qi - Sa-1, Department Of State, Washington, DC 20522 Phone: 202-663-2453 Fax: 202-663-3247
Dr. Estela M. Gonzalez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2333 Ontario Rd Nw, Washington, DC 20009 Phone: 202-420-7121
Dr. Richard Martin Restak, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1800 R St Nw, Suite C-3, Washington, DC 20009 Phone: 202-462-0455 Fax: 202-462-0340
Steven Weinstein, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-884-2120

Dr Opal E Pettis, MD - Medicare Psychiatry & Neurology in Washington, DC