James C Pettit, DO is a medicare enrolled "Family Medicine" physician in Rockdale, Texas. His current practice location is
1700 Brazos Ave, Rockdale, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 446-4500.
James C Pettit is licensed to practice in Texas (license number F9947) 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 1265450175.
Physician's Profile
| Full Name | James C Pettit |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1700 Brazos Ave, Rockdale, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265450175
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 06/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 8820901879
- Enrollment ID: I20031106000619
Medical Identifiers
Medical identifiers for James C Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265450175 | NPI | - | NPPES |
| 8U8772 | Other | TX | BCBS |
| 140233137 | Medicaid | TX | |
| 140233138 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | F9947 (Texas) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | F9947 (Texas) | Secondary |
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. James C Pettit allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medicine Doctor Of Waco Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548466766
PECOS PAC ID: 1951392984
Enrollment ID: O20040519001078 |
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| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531 |
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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. James C Pettit 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 |
|---|
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 |
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