| Dr John Mark Pettit, MD | |
|
340 Birchwood Ave, Bellingham, WA 98225-1782 | |
| (360) 671-9197 | |
| (360) 676-7730 |
| Full Name | Dr John Mark Pettit |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 340 Birchwood Ave, Bellingham, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407937253 | NPI | - | NPPES |
| 1032978 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00024911 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Island Hospital | Anacortes, WA | Hospital |
| St Joseph Hospital | Bellingham, WA | Hospital |
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Peacehealth United General Medical Center | Sedro woolley, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellingham Urology Group Pllc | 2466764741 | 4 |
| Entity Name | Bellingham Urology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497152631 PECOS PAC ID: 2466764741 Enrollment ID: O20150629002042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Mark Pettit, MD 340 Birchwood Ave, Bellingham, WA 98225-1782 Ph: (360) 671-9197 | Dr John Mark Pettit, MD 340 Birchwood Ave, Bellingham, WA 98225-1782 Ph: (360) 671-9197 |
Dr. William P Griggs, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2160 Dellesta Dr, Bellingham, WA 98226 Phone: 360-734-9013 Fax: 360-671-9290 | |
Dr. Mitchell Nguyen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3232 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-733-7687 | |
Dr. Daniel Reznicek, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4545 Cordata Pkwy, Suite 1a, Bellingham, WA 98226 Phone: 360-733-7687 | |
Dr. Daniel Hunter Roeter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3232 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-733-7687 Fax: 360-734-7687 | |
Dr. Sean Casey Okeefe, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3232 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-733-7687 Fax: 360-734-7687 | |
Kelly June Casperson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3232 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-733-7687 Fax: 360-756-2008 |