Kelly Rae Pettigrew, OPTICIAN LICENSE FL - Optometrist in Dulce, NM

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Kelly Rae Pettigrew, OPTICIAN LICENSE FL is a Optometrist based in Dulce, New Mexico. Kelly Rae Pettigrew is licensed to practice in Florida (license number DO5748) and her current practice location is 505 North Mundo, Dulce, New Mexico. She can be reached at her office (for appointments etc.) via phone at (575) 759-3291.

NPI number for Kelly Rae Pettigrew is 1164917373 and her current mailing address is Po Box 187, Dulce, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164917373.

Contact Information

Kelly Rae Pettigrew, OPTICIAN LICENSE FL
505 North Mundo,
Dulce, NM 87528
(575) 759-3291
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Rae Pettigrew
GenderFemale
SpecialityOptometrist
Location505 North Mundo, Dulce, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164917373
  • Provider Enumeration Date: 06/29/2018
  • Last Update Date: 06/29/2018

Medical Identifiers

Medical identifiers for Kelly Rae Pettigrew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164917373NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist DO5748 (Florida)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. Kelly Rae Pettigrew 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 AddressPractice Location Address
Kelly Rae Pettigrew, OPTICIAN LICENSE FL
Po Box 187,
Dulce, NM 87528-0187

Ph: (575) 759-3291		Kelly Rae Pettigrew, OPTICIAN LICENSE FL
505 North Mundo,
Dulce, NM 87528

Ph: (575) 759-3291

Reviews and Comments


Optometrist in Dulce, NM

Maricela Bonilla, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 500 North Mundo, Dulce, NM 87528
Phone: 575-759-7281    Fax: 575-759-3651

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.