Matthew Jarvis Pettit, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Grand Jct, Colorado. He graduated from healthcare school in 2004 and has 21 years of diverse experience with area of expertise as Marriage And Family Therapist. His current practice location is
1801 I 70 Business Loop Ste B5, Grand Jct, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 245-3212.
Matthew Jarvis Pettit is licensed to practice in Colorado (license number 980) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1871745117.
Healthcare Provider's Profile
| Full Name | Matthew Jarvis Pettit |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 21 Years |
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| Location | 1801 I 70 Business Loop Ste B5, Grand Jct, Colorado |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matthew Jarvis Pettit graduated from medical school in 2004
NPI Data:
- NPI Number: 1871745117
- Provider Enumeration Date: 10/17/2008
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406398841
- Enrollment ID: I20240614002453
Medical Identifiers
Medical identifiers for Matthew Jarvis Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871745117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 980 (Colorado) | Primary |
| 106H00000X | Marriage & Family Therapist | 5696849-3902 (Utah) | 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. Matthew Jarvis Pettit allows following entities to bill medicare on his behalf.
| Entity Name | Deep Rivers Family Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912261603
PECOS PAC ID: 5597207936
Enrollment ID: O20240612004310 |
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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 Jarvis Pettit 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 |
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Matthew Jarvis Pettit, MFT
Po Box 23360,
Glade Park, CO 81523-0360
Ph: (970) 623-4281 | Matthew Jarvis Pettit, MFT
1801 I 70 Business Loop Ste B5,
Grand Jct, CO 81501-8002
Ph: (970) 245-3212 |
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