Mr Thomas Christopher Pettinger, DO | |
14413 East Sands Ranch Road, Vail, AZ 85641-8876 | |
(520) 661-6089 | |
(520) 561-8493 |
Full Name | Mr Thomas Christopher Pettinger |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 14413 East Sands Ranch Road, Vail, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891884433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A4257 (California) | Secondary |
207Q00000X | Family Medicine | 1515 (Arizona) | Primary |
Entity Name | Benson Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
Mailing Address | Practice Location Address |
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Mr Thomas Christopher Pettinger, DO 14413 East Sands Ranch Road, Vail, AZ 85641-8876 Ph: (520) 661-6089 | Mr Thomas Christopher Pettinger, DO 14413 East Sands Ranch Road, Vail, AZ 85641-8876 Ph: (520) 661-6089 |
Courtney Ann Rhoades, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10419 S Cutting Horse Dr, Vail, AZ 85641 Phone: 520-906-3402 | |
Samuel Sirignano, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17407 S Indigo Crest Pass, Vail, AZ 85641 Phone: 520-437-9733 | |
Mrs. Laurie Anne Mcmahon, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13370 E Mary Ann Cleveland Way Ste 102, Vail, AZ 85641 Phone: 520-585-5002 |