Dr Kelli K Pettit, MD in Waukesha, WI - Medicare General Surgery

Dr Kelli K Pettit, MD is a medicare enrolled "Surgery" physician in Waukesha, Wisconsin. She went to Washington University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Waukesha Surgical Specialists, S.c. and her current practice location is 1111 Delafield St,, Ste 209, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 542-0444.

Dr Kelli K Pettit is licensed to practice in Wisconsin (license number 48072-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477643807.

Contact Information

	Dr Kelli K Pettit, MD
	1111 Delafield St,, Ste 209, Waukesha, WI 53188-3403
	(262) 542-0444
	(262) 542-8214

Map and Direction

Physician's Profile

Full Name	Dr Kelli K Pettit
Gender	Female
Speciality	General Surgery
Experience	21 Years
Location	1111 Delafield St,, Waukesha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelli K Pettit attended and graduated from Washington University School Of Medicine in 2003

NPI Data:

NPI Number: 1477643807
Provider Enumeration Date: 10/14/2006
Last Update Date: 04/24/2019

Medicare PECOS Information:

PECOS PAC ID: 3678646890
Enrollment ID: I20090731000555

Medical Identifiers

Medical identifiers for Dr Kelli K Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477643807	NPI	-	NPPES
1477643807	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	48072-020 (Wisconsin)	Secondary
2086X0206X	Surgery - Surgical Oncology	48072-020 (Wisconsin)	Secondary
208600000X	Surgery	48072-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waukesha Memorial Hospital	Waukesha, WI	Hospital
Oconomowoc Memorial Hospital	Oconomowoc, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Waukesha Surgical Specialists, S.c.	6406843424	15

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. Dr Kelli K Pettit allows following entities to bill medicare on her behalf.

Entity Name	Waukesha Surgical Specialists, S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295776649 PECOS PAC ID: 6406843424 Enrollment ID: O20040429001209

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. Dr Kelli K 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
Dr Kelli K Pettit, MD 1111 Delafield St,, Ste 209, Waukesha, WI 53188-3403 Ph: (262) 542-0444	Dr Kelli K Pettit, MD 1111 Delafield St,, Ste 209, Waukesha, WI 53188-3403 Ph: (262) 542-0444

Reviews and Comments

Surgery Doctors in Waukesha, WI

Dr. Stephen R Bartos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St, Ste 209, Waukesha, WI 53188 Phone: 262-542-0444 Fax: 262-542-8214
William B Davies, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, #209, Waukesha, WI 53188 Phone: 262-542-0444 Fax: 262-542-8214
Dr. David D Schmitt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St, Ste 209, Waukesha, WI 53188 Phone: 262-542-0444 Fax: 262-542-8214
Dr. Thomas John Wade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St, Suite 209, Waukesha, WI 53188 Phone: 262-542-0444 Fax: 262-542-8214
Dr. Christopher B Davies, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St, Ste 209, Waukesha, WI 53188 Phone: 262-542-0444 Fax: 262-542-8214
Dr. Travis Patrick Schmidt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 209, Waukesha, WI 53188 Phone: 262-542-0444

Dr Kelli K Pettit, MD - Medicare General Surgery in Waukesha, WI