Jacita Booker Petway, PSYD in Albemarle, NC - Medicare Clinical Psychologist Provider

Jacita Booker Petway, PSYD is a medicare enrolled "Psychologist" provider in Albemarle, North Carolina. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Novant Medical Group Inc and her current practice location is 1000 N 1st St Ste 1, Albemarle, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 938-2117.

Jacita Booker Petway is licensed to practice in North Carolina (license number LPA# 3738) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477796316.

Contact Information

	Jacita Booker Petway, PSYD
	1000 N 1st St Ste 1, Albemarle, NC 28001-2819
	(704) 938-2117
	(704) 938-2636

Map and Direction

Healthcare Provider's Profile

Full Name	Jacita Booker Petway
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	1000 N 1st St Ste 1, Albemarle, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacita Booker Petway graduated from medical school in 2007

NPI Data:

NPI Number: 1477796316
Provider Enumeration Date: 04/08/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7810159027
Enrollment ID: I20121019000685

Medical Identifiers

Medical identifiers for Jacita Booker Petway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477796316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LPA# 3738 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Jacita Booker Petway allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

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. Jacita Booker Petway 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
Jacita Booker Petway, PSYD 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100	Jacita Booker Petway, PSYD 1000 N 1st St Ste 1, Albemarle, NC 28001-2819 Ph: (704) 938-2117

Reviews and Comments

Psychologist in Albemarle, NC

Amanda Matthews, MA,LPA,HSP-PA,CSOTS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Pee Dee Ave, Albemarle, NC 28001 Phone: 704-986-1500
Janet Stephens Banks, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 213 N 2nd St, Albemarle, NC 28001 Phone: 704-982-9600 Fax: 704-982-8155
Mrs. Santina A Pfleeger, MA-LPA, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 N 1st St, Albemarle, NC 28001 Phone: 704-983-1134 Fax: 704-982-2552
Virginia Elaine Fee, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1040 E Main St, Albemarle, NC 28001 Phone: 704-984-4910
Connie Smith Philbeck, L.P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 N 1st St, Albemarle, NC 28001 Phone: 704-983-2117
Mr. James Marsh Cunningham, M.A., L.P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Pee Dee Ave, Albemarle, NC 28001 Phone: 704-986-1573

Jacita Booker Petway, PSYD - Medicare Psychologist in Albemarle, NC