Robert T Petty, DO - Medicare Emergency Medicine in Sonoma, CA

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Robert T Petty, DO is a medicare enrolled "Emergency Medicine" physician in Sonoma, California. His current practice location is 866 Donner Ave, Sonoma, California. You can reach out to his office (for appointments etc.) via phone at (360) 708-7940.

Robert T Petty is licensed to practice in Washington (license number DO00001542) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497795496.

Contact Information

Robert T Petty, DO
866 Donner Ave,
Sonoma, CA 95476-7136
(360) 708-7940
Not Available

Map and Direction




Physician's Profile

Full NameRobert T Petty
GenderMale
SpecialityEmergency Medicine
Location866 Donner Ave, Sonoma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497795496
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 01/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0840228870
  • Enrollment ID: I20050801000808

Medical Identifiers

Medical identifiers for Robert T Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497795496NPI-NPPES
3075PEOtherWABSWA
0209144OtherWALIWA
8214223MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DO00001542 (Washington)Primary
282N00000XGeneral Acute Care Hospital 20A 4256 (California)Secondary
282N00000XGeneral Acute Care Hospital OP1542 (Washington)Secondary

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. Robert T Petty allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameSonoma Valley Emergency Physicians Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710164629
PECOS PAC ID: 1355420191
Enrollment ID: O20080506000390

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. Robert T Petty 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
Robert T Petty, DO
866 Donner Ave,
Sonoma, CA 95476-7136

Ph: (360) 708-7940		Robert T Petty, DO
866 Donner Ave,
Sonoma, CA 95476-7136

Ph: (360) 708-7940

Reviews and Comments


Emergency Medicine Doctors in Sonoma, CA

Mark Gorton Wills, MD
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Jay W. Goldberg, MD
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William G. Keyser, MD
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Erick S. French, MD
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Phone: 707-935-5000    Fax: 925-225-5838
D Jasper Schmidt, MD
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Practice Location: 347 Andrieux St, Sonoma, CA 95476
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Dr. Leslie Eileen Graham, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 347 Andrieux St, Sonoma, CA 95476
Phone: 707-935-5100    

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.