Timothy William Pettitt, MD | |
200 Henry Clay Ave, New Orleans, LA 70118 | |
(504) 896-9868 | |
(504) 896-9410 |
Full Name | Timothy William Pettitt |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 200 Henry Clay Ave, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144322421 | NPI | - | NPPES |
1558010 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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2086S0120X | Surgery - Pediatric Surgery | 13143R (Louisiana) | Primary |
Entity Name | Louisiana State University School Of Med In New Orleans Faculty Grou |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932492626 PECOS PAC ID: 9739358722 Enrollment ID: O20110810000538 |
Mailing Address | Practice Location Address |
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Timothy William Pettitt, MD 200 Henry Clay Ave, New Orleans, LA 70118 Ph: (504) 896-9868 | Timothy William Pettitt, MD 200 Henry Clay Ave, New Orleans, LA 70118 Ph: (504) 896-9868 |
Danielle M Pickham, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3000 | |
Dr. Carlos Galvani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1415 Tulane Ave, New Orleans, LA 70112 Phone: 504-988-6855 | |
Amanda Tullos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1430 Tulane Ave Rm 734, New Orleans, LA 70112 Phone: 501-920-4647 | |
David S Bruce, M. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, New Orleans, LA 70121 Phone: 504-842-4000 | |
Dr. Robert M. Arensman, MD Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Hernan Antonio Bazan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, 8th Floor-clinic, New Orleans, LA 07012 Phone: 504-842-4053 Fax: 504-842-5017 | |
Kiara Tulla, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave # 8622, New Orleans, LA 70112 Phone: 504-988-2306 |