Stephen Allan Petty, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. His current practice location is
1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 265-7303.
Stephen Allan Petty is licensed to practice in Florida (license number UO7473) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750812855.
Physician's Profile
Full Name | Stephen Allan Petty |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1600 Sw Archer Rd, Gainesville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750812855
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 05/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971871567
- Enrollment ID: I20210820000365
Medical Identifiers
Medical identifiers for Stephen Allan Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750812855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2020-00570 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | UO7473 (Florida) | 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. Stephen Allan 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 |
Stephen Allan Petty, DO 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-7303 | Stephen Allan Petty, DO 1600 Sw Archer Rd, Gainesville, FL 32610-0001 Ph: (352) 265-7303 |
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