Theron M Pettit, MD in Orlando, FL - Medicare Internal Medicine

Theron M Pettit, MD is a medicare enrolled "Internal Medicine" physician in Orlando, Florida. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Orlando Physicians Network Inc and his current practice location is 5540 E Grant St, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 367-4706.

Theron M Pettit is licensed to practice in Florida (license number ME91576) 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 1245214279.

Contact Information

	Theron M Pettit, MD
	5540 E Grant St, Orlando, FL 32822-1668
	(407) 367-4706
	(321) 203-4606

Map and Direction

Physician's Profile

Full Name	Theron M Pettit
Gender	Male
Speciality	Internal Medicine
Experience	29 Years
Location	5540 E Grant St, Orlando, Florida
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:

Theron M Pettit attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1995

NPI Data:

NPI Number: 1245214279
Provider Enumeration Date: 12/02/2005
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2365481165
Enrollment ID: I20050502000341

Medical Identifiers

Medical identifiers for Theron M Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245214279	NPI	-	NPPES
272039600	Medicaid	FL
64060	Other		BCBSFL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME91576 (Florida)	Primary
207R00000X	Internal Medicine	C175441 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orlando Health Home Care	Orlando, FL	Home health agency
Mederi Caretenders	Kissimmee, FL	Home health agency
Orlando Health	Orlando, FL	Hospital
Health Central	Ocoee, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orlando Physicians Network Inc	7719026251	190

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. Theron M Pettit allows following entities to bill medicare on his behalf.

Entity Name	Physician Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591

Entity Name	Orlando Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568693554 PECOS PAC ID: 7719026251 Enrollment ID: O20091123000506

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. Theron M Pettit 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
Theron M Pettit, MD 5540 E Grant St, Orlando, FL 32822-1668 Ph: (407) 367-4706	Theron M Pettit, MD 5540 E Grant St, Orlando, FL 32822-1668 Ph: (407) 367-4706

Reviews and Comments

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Theron M Pettit, MD - Medicare Internal Medicine in Orlando, FL