Dr Wendell E Petty, MD is a medicare enrolled "Allergy & Immunology" physician in Idaho Falls, Idaho. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Idaho Allergy And Asthma Clinic Pa and his current practice location is
3422 S 15th E, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 529-9292.
Dr Wendell E Petty is licensed to practice in Idaho (license number MD-2580) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457312308.
Physician's Profile
| Full Name | Dr Wendell E Petty |
|---|
| Gender | Male |
|---|
| Speciality | Allergy/immunology |
|---|
| Experience | 52 Years |
|---|
| Location | 3422 S 15th E, Idaho Falls, Idaho |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Wendell E Petty graduated from medical school in 1972
NPI Data:
- NPI Number: 1457312308
- Provider Enumeration Date: 03/30/2006
- Last Update Date: 06/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 0042268963
- Enrollment ID: I20050107000247
Medical Identifiers
Medical identifiers for Dr Wendell E Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457312308 | NPI | - | NPPES |
| 76891 | Other | ID | BLUE CROSS |
| 000010004631 | Other | ID | BLUE SHIELD |
| 002516900 | Medicaid | ID | |
| 030000684 | Other | ID | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | MD-2580 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Idaho Allergy And Asthma Clinic Pa | 2860440732 | 3 |
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 Wendell E Petty allows following entities to bill medicare on his behalf.
| Entity Name | Idaho Allergy & Asthma Clinic Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003949298
PECOS PAC ID: 2860440732
Enrollment ID: O20071017000965 |
|---|
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 Wendell E Petty 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 Wendell E Petty, MD
3422 S 15th E,
Idaho Falls, ID 83404-8262
Ph: (208) 529-9292 | Dr Wendell E Petty, MD
3422 S 15th E,
Idaho Falls, ID 83404-8262
Ph: (208) 529-9292 |
Reviews and Comments