George Lycurglus Petty, MD - Medicare Family Medicine in Meridian, MS

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George Lycurglus Petty, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Meridian, Mississippi. His current practice location is 1314 19th Ave, Meridian, Mississippi. You can reach out to his office (for appointments etc.) via phone at (205) 270-9467.

George Lycurglus Petty is licensed to practice in Alabama (license number MD.34536) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831536333.

Contact Information

George Lycurglus Petty, MD
1314 19th Ave,
Meridian, MS 39301
(205) 270-9467
Not Available

Map and Direction




Physician's Profile

Full NameGeorge Lycurglus Petty
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location1314 19th Ave, Meridian, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831536333
  • Provider Enumeration Date: 05/24/2013
  • Last Update Date: 08/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1052544673
  • Enrollment ID: I20180711001448

Medical Identifiers

Medical identifiers for George Lycurglus Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831536333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 24118 (Mississippi)Secondary
207QA0505XFamily Medicine - Adult Medicine MD.34536 (Alabama)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. George Lycurglus Petty allows following entities to bill medicare on his behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20050218000756
Entity NameSoutheast Physician Network, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598090839
PECOS PAC ID: 0840337721
Enrollment ID: O20091026000423
Entity NameRelias Emergency Medicine Specialists Of Northport, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699261149
PECOS PAC ID: 2668724634
Enrollment ID: O20181003001104
Entity NameRelias Emergency Medicine Specialists Of Regional, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619463163
PECOS PAC ID: 9436401106
Enrollment ID: O20181008000902
Entity NameAllegra Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578183190
PECOS PAC ID: 9133544257
Enrollment ID: O20200806002832

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. George Lycurglus 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 AddressPractice Location Address
George Lycurglus Petty, MD
1901 5th Ave E Unit 1113,
Tuscaloosa, AL 35401-3868

Ph: (205) 270-9467		George Lycurglus Petty, MD
1314 19th Ave,
Meridian, MS 39301

Ph: (205) 270-9467

Reviews and Comments


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Dr. Shawn C Anderson, DO
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Dr. Chadley T Vega, M.D.
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Dr. Allison Hailman Doyle, D.O.
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Linda F. Mccullar, MD
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Dr. William Lee Brown Iv, DO
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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.