James Michael Petit, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Thomas, Kentucky. His current practice location is
20 N Grand Ave, Fort Thomas, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 781-0431.
James Michael Petit is licensed to practice in Kentucky (license number 20528) 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 1851393748.
Physician's Profile
| Full Name | James Michael Petit |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 20 N Grand Ave, Fort Thomas, Kentucky |
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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: 1851393748
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466358593
- Enrollment ID: I20031210000256
Medical Identifiers
Medical identifiers for James Michael Petit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851393748 | NPI | - | NPPES |
| 64205289 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20528 (Kentucky) | 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. James Michael Petit allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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| Entity Name | St Elizabeth Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932187937
PECOS PAC ID: 0648174623
Enrollment ID: O20031121000206 |
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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 Michael Petit 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 |
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James Michael Petit, MD
20 N Grand Ave,
Fort Thomas, KY 41075-1755
Ph: (859) 781-0431 | James Michael Petit, MD
20 N Grand Ave,
Fort Thomas, KY 41075-1755
Ph: (859) 781-0431 |
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