Ethan Pettit, DO - Pediatrics in Vernal, UT

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Ethan Pettit, DO is a Pediatrics physician based in Vernal, Utah. Ethan Pettit is licensed to practice in Iowa (license number R-8712) and his current practice location is 175 N 100 W, Ste 106, Vernal, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 789-9060.

NPI number for Ethan Pettit is 1518193184 and his current mailing address is 175 N 100 W, Ste 106, Vernal, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518193184.

Contact Information

Ethan Pettit, DO
175 N 100 W, Ste 106,
Vernal, UT 84078-2049
(435) 789-9060
(435) 781-3048

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Physician's Profile

Full NameEthan Pettit
GenderMale
SpecialityPediatrics
Location175 N 100 W, Vernal, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518193184
  • Provider Enumeration Date: 06/09/2009
  • Last Update Date: 02/06/2014

Medical Identifiers

Medical identifiers for Ethan Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518193184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R-8712 (Iowa)Primary

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. Ethan 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 AddressPractice Location Address
Ethan Pettit, DO
175 N 100 W, Ste 106,
Vernal, UT 84078-2049

Ph: (435) 789-9060		Ethan Pettit, DO
175 N 100 W, Ste 106,
Vernal, UT 84078-2049

Ph: (435) 789-9060

Reviews and Comments


Pediatrics Doctors in Vernal, UT

Dr. Daniel J Kwak, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 175 N 100 W, Ste 106, Vernal, UT 84078
Phone: 435-789-9060    Fax: 435-789-7754

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.