Michael Logan Pettus, MD | |
9735 Kincey Ave Ste 100, Huntersville, NC 28078-9120 | |
(704) 500-2332 | |
Not Available |
Full Name | Michael Logan Pettus |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 10 Years |
Location | 9735 Kincey Ave Ste 100, Huntersville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376962712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 202000739 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Anesthesiology Associates Pa | 3971566761 | 238 |
Sarmc Anesthesia Specialist Llc | 5294032413 | 31 |
Entity Name | Providence Anesthesiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
Entity Name | East Carolina Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
Entity Name | Carolinas Pain Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912292335 PECOS PAC ID: 0446420525 Enrollment ID: O20110829000045 |
Entity Name | Sarmc Anesthesia Specialist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295194397 PECOS PAC ID: 5294032413 Enrollment ID: O20160401000764 |
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 |
Dr. Joanna Monika Wroblewska-shah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9735 Kincey Ave, Suite 100, Huntersville, NC 28078 Phone: 704-500-2332 Fax: 888-511-8009 |