Jessica Elizabeth Petty, DO in Corona, CA - Medicare Pulmonary Disease

Jessica Elizabeth Petty, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Corona, California. She went to Rocky Vista University College Of Osteopathic Med and graduated in 2015 and has 9 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Riverside Medical Clinic Inc and her current practice location is 21634 Retreat Pkwy, Corona, California. You can reach out to her office (for appointments etc.) via phone at (951) 493-6916.

Jessica Elizabeth Petty is licensed to practice in California (license number 20A18831) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447631627.

Contact Information

	Jessica Elizabeth Petty, DO
	21634 Retreat Pkwy, Corona, CA 92883-6100
	(951) 493-6916
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Elizabeth Petty
Gender	Female
Speciality	Pulmonary Disease
Experience	9 Years
Location	21634 Retreat Pkwy, Corona, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Elizabeth Petty attended and graduated from Rocky Vista University College Of Osteopathic Med in 2015

NPI Data:

NPI Number: 1447631627
Provider Enumeration Date: 06/14/2015
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9335456938
Enrollment ID: I20210924000982

Medical Identifiers

Medical identifiers for Jessica Elizabeth Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447631627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	TL.0005639 (Colorado)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	20A18831 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Medical Clinic Inc	2961492327	146

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. Jessica Elizabeth Petty allows following entities to bill medicare on her behalf.

Entity Name	Riverside Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880

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. Jessica Elizabeth 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
Jessica Elizabeth Petty, DO 3660 Arlington Ave, Riverside, CA 92506-3912 Ph: () -	Jessica Elizabeth Petty, DO 21634 Retreat Pkwy, Corona, CA 92883-6100 Ph: (951) 493-6916

Reviews and Comments

Internal Medicine Doctors in Corona, CA

Dr. Imran Hasnain, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1157 W Grand Blvd, Corona, CA 92882 Phone: 951-737-1000 Fax: 951-737-1558
M. Mazen Jamal, M.D., M.P.H. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2097 Compton Ave Ste 103, Corona, CA 92881 Phone: 951-934-0505 Fax: 951-444-7749
Mr. Narakanti Nimmagadda Rao, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 760 S Washburn Ave #7, Corona, CA 92882 Phone: 951-735-2311 Fax: 951-737-1655
Dr. Isaac K Tsai, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave., Suite 205, Corona, CA 92879 Phone: 951-735-4771 Fax: 951-735-3855
Dr. Mutahir Farhan, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 284 Dupont St Ste 130, Corona, CA 92879 Phone: 951-497-3749 Fax: 954-405-8701
Mr. Gilbert Oscar Plasencia, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2250 S Main St, Suite #201, Corona, CA 92882 Phone: 951-734-4880 Fax: 951-734-7963
Mohammad Khaled Shahin, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6805

Jessica Elizabeth Petty, DO - Medicare Pulmonary Disease in Corona, CA