Dr Ross E Pettit, MD is a
Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology physician based in Bemidji, Minnesota. Dr Ross E Pettit is licensed to practice in North Dakota (license number 4231) and his current practice location is 1233 34th St Nw, Bemidji, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 333-4968.
NPI number for Dr Ross E Pettit is 1942371752 and his current mailing address is 1233 34th St Nw, Bemidji, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942371752.
Physician's Profile
| Full Name | Dr Ross E Pettit |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
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| Location | 1233 34th St Nw, Bemidji, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942371752
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 11/18/2011
Medical Identifiers
Medical identifiers for Dr Ross E Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942371752 | NPI | - | NPPES |
| 1942371752 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 4231 (North Dakota) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 51426 (Minnesota) | Secondary |
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 Ross E Pettit is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ross E Pettit, MD
1233 34th St Nw,
Bemidji, MN 56601-5112
Ph: (218) 333-4968 | Dr Ross E Pettit, MD
1233 34th St Nw,
Bemidji, MN 56601-5112
Ph: (218) 333-4968 |
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