James C Pettit, DO | |
1700 Brazos Ave, Rockdale, TX 76567-2517 | |
(512) 446-4500 | |
Not Available |
Full Name | James C Pettit |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1700 Brazos Ave, Rockdale, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265450175 | NPI | - | NPPES |
8U8772 | Other | TX | BCBS |
140233137 | Medicaid | TX | |
140233138 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F9947 (Texas) | Primary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | F9947 (Texas) | Secondary |
Entity Name | Emergency Medicine Doctor Of Waco Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548466766 PECOS PAC ID: 1951392984 Enrollment ID: O20040519001078 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Mailing Address | Practice Location Address |
---|---|
James C Pettit, DO 3721 Herwol Ave, Waco, TX 76710-7218 Ph: () - | James C Pettit, DO 1700 Brazos Ave, Rockdale, TX 76567-2517 Ph: (512) 446-4500 |
John Weed Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 602 N Main St, Rockdale, TX 76567 Phone: 512-446-4555 Fax: 512-446-4533 | |
Janelle K. House, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1904 Brazos Ave, Rockdale, TX 76567 Phone: 254-630-6970 Fax: 512-430-0300 |