Connor Petty, in Ardmore, OK - Medicare Nurse Practitioner

Connor Petty, is a medicare enrolled "Nurse Practitioner" in Ardmore, Oklahoma. His current practice location is 908 N Rockford Rd, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 223-0447.

Connor Petty is licensed to practice in Oklahoma (license number 214891) 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 1497539498.

Contact Information

	Connor Petty,
	908 N Rockford Rd, Ardmore, OK 73401-2540
	(580) 223-0447
	Not Available

Map and Direction

Provider's Profile

Full Name	Connor Petty
Gender	Male
Speciality	Nurse Practitioner
Location	908 N Rockford Rd, Ardmore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497539498
Provider Enumeration Date: 08/21/2023
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0941658421
Enrollment ID: I20231121003252

Medical Identifiers

Medical identifiers for Connor Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497539498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	214891 (Oklahoma)	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. Connor Petty allows following entities to bill medicare on his behalf.

Entity Name	Baha Al Deen Abuesheh Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184631756 PECOS PAC ID: 4183623218 Enrollment ID: O20061218000500

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. Connor 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
Connor Petty, 908 N Rockford Rd, Ardmore, OK 73401-2540 Ph: (580) 223-0447	Connor Petty, 908 N Rockford Rd, Ardmore, OK 73401-2540 Ph: (580) 223-0447

Reviews and Comments

Nurse Practitioner Nurses in Ardmore, OK

Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284
Toni Headstream, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401 Phone: 254-485-0338
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989
Quashonda Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Monroe St Nw, Ardmore, OK 73401 Phone: 580-504-2082 Fax: 580-226-5918
Angela Donnice Amparano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-4580

Connor Petty, - Medicare Nurse Practitioner in Ardmore, OK