| Jerome L Pettit, PA-C | |
|
155 W Mills St Ste 204, Columbus, NC 28722-9462 | |
| (833) 365-7246 | |
| Not Available |
| Full Name | Jerome L Pettit |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 155 W Mills St Ste 204, Columbus, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861587560 | NPI | - | NPPES |
| 970030947 | Other | NC | MEDICARE RR PROVIDER NUMB |
| 1861587560 | Medicaid | NC | |
| 0816PA | Medicaid | SC | |
| 8102639 | Medicaid | NC | |
| 27671 | Other | NC | MEDCOST PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103720 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome L Pettit, PA-C Po Box 602229, Charlotte, NC 28260-2229 Ph: (828) 894-3718 | Jerome L Pettit, PA-C 155 W Mills St Ste 204, Columbus, NC 28722-9462 Ph: (833) 365-7246 |
Mr. Christopher Ryan Campbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 155 W Mills St Ste 204, Columbus, NC 28722 Phone: 828-266-0493 | |
Mrs. Amy Britain Mitchell, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 52 Hospital Dr Ste 3a, Columbus, NC 28722 Phone: 828-894-2473 Fax: 828-894-2390 | |
Ms. Karen L Goodale, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2881 Nc Hwy 108 E, Columbus, NC 28722 Phone: 828-894-3494 Fax: 828-894-5864 | |
Janna Marie Grindley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11 Sunshine Ln, Columbus, NC 28722 Phone: 828-859-7659 | |
George Bradey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 130 Forest Glen Rd, Ste B, Columbus, NC 28722 Phone: 828-894-5627 | |
Susanne Cochran Wise, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 89 W Mills St, Ste A, Columbus, NC 28722 Phone: 828-894-3718 | |
Cameron Meadow Martin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 89 W Mills St, Ste A, Columbus, NC 28722 Phone: 828-894-3718 |