Alicia Pettett, is a
Speech-language Pathologist based in Caddo, Oklahoma. Alicia Pettett is licensed to practice in * (Not Available) (license number ) and her current practice location is
600 S Mcpherren Street, Caddo, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 367-2208.
NPI number for Alicia Pettett is 1629452933 and her current mailing address is Po Box 128, Caddo, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629452933.
Healthcare Provider's Profile
Full Name | Alicia Pettett |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 600 S Mcpherren Street, Caddo, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629452933
- Provider Enumeration Date: 07/16/2015
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Alicia Pettett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629452933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Alicia Pettett 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 Address | Practice Location Address |
Alicia Pettett, Po Box 128, Caddo, OK 74729-0128 Ph: () - | Alicia Pettett, 600 S Mcpherren Street, Caddo, OK 74729-0128 Ph: (580) 367-2208 |
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