Jerry Miller Petty, MD in Charlotte, NC - Medicare Neurological Surgery

Jerry Miller Petty, MD is a medicare enrolled "Neurological Surgery" physician in Charlotte, North Carolina. His current practice location is 225 Baldwin Ave, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 376-1605.

Jerry Miller Petty is licensed to practice in North Carolina (license number 11925) 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 1124027628.

Contact Information

	Jerry Miller Petty, MD
	225 Baldwin Ave, Charlotte, NC 28204-3109
	(704) 376-1605
	(704) 335-8448

Map and Direction

Physician's Profile

Full Name	Jerry Miller Petty
Gender	Male
Speciality	Neurological Surgery
Location	225 Baldwin Ave, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124027628
Provider Enumeration Date: 07/18/2005
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 6002951217
Enrollment ID: I20100226000308

Medical Identifiers

Medical identifiers for Jerry Miller Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124027628	NPI	-	NPPES
140004695	Other		RAILROAD MEDICARE
453681	Medicaid	SC
8967385	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	11925 (North Carolina)	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. Jerry Miller Petty allows following entities to bill medicare on his behalf.

Entity Name	Carolina Neurosurgery & Spine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154384568 PECOS PAC ID: 7214833375 Enrollment ID: O20031209001069

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. Jerry Miller 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 Address	Practice Location Address
Jerry Miller Petty, MD 225 Baldwin Ave, Charlotte, NC 28204-3109 Ph: (704) 376-1605	Jerry Miller Petty, MD 225 Baldwin Ave, Charlotte, NC 28204-3109 Ph: (704) 376-1605

Reviews and Comments

Neurological Surgery Doctors in Charlotte, NC

Anthony Lawrence Asher, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Vincent Jack Rossi, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Dr. Charles Nelson Munyon, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 Billingsley Rd Ste 202, Charlotte, NC 28211 Phone: 704-316-3070 Fax: 704-316-3071
Matthew Joseph Mcgirt, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Michael A Bohl, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Dr. Joseph Thomas Cheatle, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448

Jerry Miller Petty, MD - Medicare Neurological Surgery in Charlotte, NC