Dix Pettey, OD, MS in Salt Lake City, UT - Medicare Optometry Provider

Dix Pettey, OD, MS is a medicare enrolled "Optometrist" provider in Salt Lake City, Utah. He went to Ohio State University - College Of Optometry and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. He is a member of the group practice University Of Utah Adult Services and his current practice location is 65 S Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2352.

Dix Pettey is licensed to practice in Utah (license number 9418444-9934) 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 1629457262.

Contact Information

	Dix Pettey, OD, MS
	65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005
	(801) 581-2352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dix Pettey
Gender	Male
Speciality	Optometry
Experience	14 Years
Location	65 S Mario Capecchi Dr, Salt Lake City, Utah
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:

Dix Pettey attended and graduated from Ohio State University - College Of Optometry in 2010

NPI Data:

NPI Number: 1629457262
Provider Enumeration Date: 05/28/2015
Last Update Date: 11/11/2021

Medicare PECOS Information:

PECOS PAC ID: 1658683735
Enrollment ID: I20150701002664

Medical Identifiers

Medical identifiers for Dix Pettey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629457262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9418444-9934 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435

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. Dix Pettey allows following entities to bill medicare on his behalf.

Provider Name	University Of Utah Adult Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Dix Pettey 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
Dix Pettey, OD, MS 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 Ph: (801) 581-2352	Dix Pettey, OD, MS 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 Ph: (801) 581-2352

Reviews and Comments

Optometrist in Salt Lake City, UT

Dr. Michael D Conklin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 Fax: 801-484-8664
Sean Patrick Cushman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 755 E 3900 S, Salt Lake City, UT 84107 Phone: 801-266-2283 Fax: 801-268-6151
Cori Marie Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Foothill Dr, Salt Lake City, UT 84148 Phone: 316-633-2244
Harlin Optometry, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662
Terry M Hansen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2828 W 4700 S, Suite D, Salt Lake City, UT 84118 Phone: 801-966-6201 Fax: 801-966-6609
Mrs. Karri A Buresh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 E 300 S, Berner Eye Clinic, Salt Lake City, UT 84111 Phone: 801-322-0467 Fax: 801-363-6053
Utah Eye Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 S 1000 E Ste 330, Salt Lake City, UT 84102 Phone: 267-736-6335

Dix Pettey, OD, MS - Medicare Optometrist in Salt Lake City, UT