Mrs Sue Ellen Petty, MD - Medicare Surgery in Princeton, KY

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Mrs Sue Ellen Petty, MD is a medicare enrolled "Surgery" physician in Princeton, Kentucky. Her current practice location is 320 Micbeth Dr, Princeton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 365-0320.

Mrs Sue Ellen Petty is licensed to practice in Kentucky (license number 34383) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477622181.

Contact Information

Mrs Sue Ellen Petty, MD
320 Micbeth Dr,
Princeton, KY 42445-6332
(270) 365-0320
(270) 365-4150

Map and Direction




Physician's Profile

Full NameMrs Sue Ellen Petty
GenderFemale
SpecialitySurgery
Location320 Micbeth Dr, Princeton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477622181
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 11/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2860516200
  • Enrollment ID: I20100908000018

Medical Identifiers

Medical identifiers for Mrs Sue Ellen Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477622181NPI-NPPES
64343833MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 34383 (Kentucky)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. Mrs Sue Ellen Petty allows following entities to bill medicare on her behalf.
Entity NamePinelake Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094

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. Mrs Sue Ellen 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 AddressPractice Location Address
Mrs Sue Ellen Petty, MD
Po Box 410,
Princeton, KY 42445

Ph: (270) 365-0320		Mrs Sue Ellen Petty, MD
320 Micbeth Dr,
Princeton, KY 42445-6332

Ph: (270) 365-0320

Reviews and Comments


Surgery Doctors in Princeton, KY

Dr. Carl B Hinton, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 323 S Jefferson St, Princeton, KY 42445
Phone: 270-365-9993    Fax: 270-365-0533

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.