Michael Logan Pettus, MD is a medicare enrolled "Anesthesiology" physician in Huntersville, North Carolina. His current practice location is
9735 Kincey Ave Ste 100, Huntersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 500-2332.
Michael Logan Pettus is licensed to practice in North Carolina (license number 202000739) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376962712.
Physician's Profile
Full Name | Michael Logan Pettus |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 9735 Kincey Ave Ste 100, Huntersville, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Logan Pettus attended and graduated from in
NPI Data:
- NPI Number: 1376962712
- Provider Enumeration Date: 04/14/2014
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael Logan Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376962712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 202000739 (North Carolina) | Primary |
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. Michael Logan Pettus 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 |
Michael Logan Pettus, MD 9735 Kincey Ave Ste 100, Huntersville, NC 28078-9120 Ph: (704) 500-2332 | Michael Logan Pettus, MD 9735 Kincey Ave Ste 100, Huntersville, NC 28078-9120 Ph: (704) 500-2332 |
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