Dr Katherine Pettibone, DPM - Medicare Podiatrist in Santa Rosa, CA

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Dr Katherine Pettibone, DPM is a medicare enrolled "Podiatrist" provider in Santa Rosa, California. Her current practice location is 2240 Mercury Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 570-3120.

Dr Katherine Pettibone is licensed to practice in California (license number E5743) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740773035.

Contact Information

Dr Katherine Pettibone, DPM
2240 Mercury Way,
Santa Rosa, CA 95407-5413
(707) 570-3120
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Katherine Pettibone
GenderFemale
SpecialityPodiatrist
Location2240 Mercury Way, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740773035
  • Provider Enumeration Date: 06/11/2018
  • Last Update Date: 04/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799169884
  • Enrollment ID: I20220909000214

Medical Identifiers

Medical identifiers for Dr Katherine Pettibone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740773035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist E5743 (California)Primary

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. Dr Katherine Pettibone allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Dr Katherine Pettibone 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 AddressPractice Location Address
Dr Katherine Pettibone, DPM
13380 Crest Valley Dr,
Reno, NV 89511-5916

Ph: () -		Dr Katherine Pettibone, DPM
2240 Mercury Way,
Santa Rosa, CA 95407-5413

Ph: (707) 570-3120

Reviews and Comments


Podiatrist in Santa Rosa, CA

Adelina B. Stateva
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Phone: 707-546-2107    Fax: 707-573-0315
John Dirk Hollander, D.P.M.
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Kevin Grierson, DPM
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Practice Location: 2281 Cleveland Ave, Santa Rosa, CA 95403
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Northern California Medical Assoc Inc
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Practice Location: 4761 Hoen Ave, Santa Rosa, CA 95405
Phone: 707-545-0570    Fax: 707-545-0575
John D Hollander Dpm Inc
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Practice Location: 95 Montgomery Dr Ste 114, Santa Rosa, CA 95404
Phone: 707-578-1222    Fax: 707-578-8348
Ashleigh E Korves, DPM
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Medicare: Accepting Medicare Assignments
Practice Location: 1701 4th St Ste 100, Santa Rosa, CA 95404
Phone: 707-578-1222    Fax: 707-578-8348
Sharon M. Wiles, DPM
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Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    

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.