Mr Jamie Keith Pettus, LPN is a
Case Manager/care Coordinator based in Benton, Arkansas. Mr Jamie Keith Pettus is licensed to practice in * (Not Available) (license number ) and his current practice location is
6701 Highway 67 Bldg 70, Benton, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 315-3344.
NPI number for Mr Jamie Keith Pettus is 1417141920 and his current mailing address is 6701 Highway 67 Bldg 70, Benton, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417141920.
Provider's Profile
| Full Name | Mr Jamie Keith Pettus |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 6701 Highway 67 Bldg 70, Benton, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417141920
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 10/12/2009
Medical Identifiers
Medical identifiers for Mr Jamie Keith Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417141920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L38028 (Arkansas) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Mr Jamie Keith Pettus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jamie Keith Pettus, LPN
6701 Highway 67 Bldg 70,
Benton, AR 72015-8909
Ph: (501) 315-3344 | Mr Jamie Keith Pettus, LPN
6701 Highway 67 Bldg 70,
Benton, AR 72015-8909
Ph: (501) 315-3344 |
Reviews and Comments