Deanna Shae Pettit, FNP in Albany, GA - Medicare Nurse Practitioner

Deanna Shae Pettit, FNP is a medicare enrolled "Nurse Practitioner - Family" in Albany, Georgia. Her current practice location is 1712 E Broad Ave # C, Albany, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 483-4537.

Deanna Shae Pettit is licensed to practice in Georgia (license number 2022137592) 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 1770361206.

Contact Information

	Deanna Shae Pettit, FNP
	1712 E Broad Ave # C, Albany, GA 31705-2611
	(229) 483-4537
	Not Available

Map and Direction

Provider's Profile

Full Name	Deanna Shae Pettit
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1712 E Broad Ave # C, Albany, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770361206
Provider Enumeration Date: 09/18/2023
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5496196057
Enrollment ID: I20240514001100

Medical Identifiers

Medical identifiers for Deanna Shae Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770361206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022137592 (Georgia)	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. Deanna Shae Pettit allows following entities to bill medicare on her behalf.

Entity Name	Albany Area Primary Health Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509

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. Deanna Shae 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
Deanna Shae Pettit, FNP 113 Dru Ct, Leesburg, GA 31763-4582 Ph: (229) 291-5455	Deanna Shae Pettit, FNP 1712 E Broad Ave # C, Albany, GA 31705-2611 Ph: (229) 483-4537

Reviews and Comments

Nurse Practitioner Nurses in Albany, GA

Israel Saucedo, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000
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Scarlett Ann Wade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063
Josiane K Ewiah, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 4th Ave, Albany, GA 31701 Phone: 229-312-1000
Susan Darlene Boyett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2402 Osler Ct, Albany, GA 31707 Phone: 229-438-3300 Fax: 229-438-4651
Ms. Beverly Ann Willis, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2173 Fax: 229-434-2548

Deanna Shae Pettit, FNP - Medicare Nurse Practitioner in Albany, GA