Eric Vernon Pettingill, LCPC in Idaho Falls, ID

Eric Vernon Pettingill, LCPC is a medicare enrolled "Counselor - Professional" provider in Idaho Falls, Idaho. His current practice location is 3729 Woodking Dr Ste 1, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 356-4900.

Eric Vernon Pettingill is licensed to practice in * (Not Available) (license number ) 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 1881791754.

Contact Information

	Eric Vernon Pettingill, LCPC
	3729 Woodking Dr Ste 1, Idaho Falls, ID 83404-4720
	(208) 356-4900
	(208) 612-6118

Map and Direction

Healthcare Provider's Profile

Full Name	Eric Vernon Pettingill
Gender	Male
Speciality	Counselor - Professional
Location	3729 Woodking Dr Ste 1, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881791754
Provider Enumeration Date: 09/20/2006
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3971535006
Enrollment ID: I20241015001450

Medical Identifiers

Medical identifiers for Eric Vernon Pettingill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881791754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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. Eric Vernon Pettingill allows following entities to bill medicare on his behalf.

Entity Name	Upper Valley Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972792489 PECOS PAC ID: 4385725282 Enrollment ID: O20120611000120

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. Eric Vernon Pettingill 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
Eric Vernon Pettingill, LCPC Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900	Eric Vernon Pettingill, LCPC 3729 Woodking Dr Ste 1, Idaho Falls, ID 83404-4720 Ph: (208) 356-4900

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mckenzie Leigh Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Eric Vernon Pettingill, LCPC - Medicare Counselor in Idaho Falls, ID