Wesley Allen Pettiford, FNP-C in Clinton, TN - Medicare Nurse Practitioner

Wesley Allen Pettiford, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Tennessee. He went to Lincoln Memorial University Medical Department and graduated in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Covenant Medical Group Inc and his current practice location is 102 S Charles G Seivers Blvd, Clinton, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 457-4702.

Wesley Allen Pettiford is licensed to practice in Tennessee (license number 31793) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740928803.

Contact Information

	Wesley Allen Pettiford, FNP-C
	102 S Charles G Seivers Blvd, Clinton, TN 37716-3916
	(865) 457-4702
	Not Available

Map and Direction

Provider's Profile

Full Name	Wesley Allen Pettiford
Gender	Male
Speciality	Nurse Practitioner
Experience	2 Years
Location	102 S Charles G Seivers Blvd, Clinton, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wesley Allen Pettiford attended and graduated from Lincoln Memorial University Medical Department in 2022

NPI Data:

NPI Number: 1740928803
Provider Enumeration Date: 05/26/2022
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8820476690
Enrollment ID: I20220607001460

Medical Identifiers

Medical identifiers for Wesley Allen Pettiford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740928803	NPI	-	NPPES
Q074406	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31793 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Medical Center Of Oak Ridge	Oak ridge, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covenant Medical Group Inc	2860305463	281

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. Wesley Allen Pettiford allows following entities to bill medicare on his behalf.

Entity Name	Covenant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030

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. Wesley Allen Pettiford 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
Wesley Allen Pettiford, FNP-C 114 Arcadian Springs Dr, Andersonville, TN 37705-3032 Ph: (865) 250-4219	Wesley Allen Pettiford, FNP-C 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 Ph: (865) 457-4702

Reviews and Comments

Nurse Practitioner Nurses in Clinton, TN

Kimberly Campbell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-647-3200 Fax: 865-463-3672
Jessica Greenway Dunn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-647-3300 Fax: 865-647-3309
Matthew Vernon Gent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 N Charles G Seivers Blvd, Suite 101, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150
Kristal K Watkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2681 Andersonville Hwy, Clinton, TN 37716 Phone: 865-494-5960
Alison Foister, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-647-3300 Fax: 865-647-3309
Paromita Yunsan, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221a Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-457-4747 Fax: 865-467-4785
Melissa Jane Wilson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 Fax: 865-374-2121

Wesley Allen Pettiford, FNP-C - Medicare Nurse Practitioner in Clinton, TN