| Dr Heather M Pettis, MD | |
|
200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 | |
| (804) 765-5529 | |
| Not Available |
| Full Name | Dr Heather M Pettis |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 200 Medical Park Blvd, Petersburg, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689825879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101249421 (Virginia) | Primary |
| 207P00000X | Emergency Medicine | A108901 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alexandria Springfield Emergency Physicians Pc | 1052558954 | 33 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Alexandria Springfield Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather M Pettis, MD 200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 Ph: (804) 765-5529 | Dr Heather M Pettis, MD 200 Medical Park Blvd, Emergency Department, Petersburg, VA 23805-9274 Ph: (804) 765-5529 |
Dr. Michael W Cieslinski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Dr. Mark Militana, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 South Adams Street, Petersburg, VA 23803 Phone: 804-862-5680 Fax: 804-862-5698 | |
Benedict Coleman Del Buono, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Robert Schulz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Mrs. Michelle Lorene Bryant-albright, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-957-6106 | |
Suel Peter Kim, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 | |
Brendan D Mccay, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Em: Emergency Medicine, Petersburg, VA 23805 Phone: 804-765-5000 |