Matthew Pettengill, DPM in Phoenix, AZ - Medicare Podiatry Provider

Matthew Pettengill, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Phoenix, Arizona. He went to Temple University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and his current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1200.

Matthew Pettengill is licensed to practice in Pennsylvania (license number SC004785L) 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 1215046974.

Contact Information

	Matthew Pettengill, DPM
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1200
	(602) 200-5383

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Pettengill
Gender	Male
Speciality	Podiatry
Experience	23 Years
Location	4212 N 16th St, Phoenix, Arizona
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:

Matthew Pettengill attended and graduated from Temple University School Of Medicine in 2001

NPI Data:

NPI Number: 1215046974
Provider Enumeration Date: 08/29/2006
Last Update Date: 07/29/2011

Medicare PECOS Information:

PECOS PAC ID: 1557333952
Enrollment ID: I20060321000424

Medical Identifiers

Medical identifiers for Matthew Pettengill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215046974	NPI	-	NPPES
AZ0307600	Other	AZ	BCBS
046148	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	POD1049 (Maine)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	SC004785L (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoenix Indian Medical Center	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm	1759290901	182

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. Matthew Pettengill allows following entities to bill medicare on his behalf.

Provider Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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. Matthew Pettengill 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
Matthew Pettengill, DPM Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1200	Matthew Pettengill, DPM 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200

Reviews and Comments

Podiatrist in Phoenix, AZ

Dr. Stefan Mudryj, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16601 N 40th St, Phoenix, AZ 85032 Phone: 480-235-5797 Fax: 480-629-5206
Elite Foot And Ankle Surgical Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006 Phone: 602-262-2663 Fax: 602-258-3008
Dr. Troy Scott Wilde, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1012 E Willetta St, Phoenix, AZ 85006 Phone: 602-839-6484
Podboys Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024 Phone: 602-456-2085
Desert Foot Surgeons P L L C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2222 E Highland Ave, Suite 206, Phoenix, AZ 85016 Phone: 602-995-1169 Fax: 602-995-7155
Andrew E Lowy Dpm Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 14001 N 7th St Ste A101, Phoenix, AZ 85022 Phone: 602-942-3966 Fax: 602-548-9470
Associated Podiatrists, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 3330 N 2nd St, Suite 100, Phoenix, AZ 85012 Phone: 602-264-1031 Fax: 602-264-3864

Matthew Pettengill, DPM - Medicare Podiatrist in Phoenix, AZ