Dr Kenneth Lee Pettit, DO - Medicare General Practice in Las Vegas, NV

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Dr Kenneth Lee Pettit, DO is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1997 and has 29 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Rajiv Siddaramu Md Pllc and his current practice location is 2720 N Tenaya Way, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 671-1111.

Dr Kenneth Lee Pettit is licensed to practice in Nevada (license number DO2065) 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 1447296298.

Contact Information

Dr Kenneth Lee Pettit, DO
2720 N Tenaya Way,
Las Vegas, NV 89128-0424
(702) 671-1111
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Lee Pettit
GenderMale
SpecialityGeneral Practice
Experience29 Years
Location2720 N Tenaya Way, Las Vegas, Nevada
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth Lee Pettit attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1997
  NPI Data:
  • NPI Number: 1447296298
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 07/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4284616616
  • Enrollment ID: I20040609000852

Medical Identifiers

Medical identifiers for Dr Kenneth Lee Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447296298NPI-NPPES
437609MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO2065 (Nevada)Primary
207Q00000XFamily Medicine 3144 (Arizona)Secondary
207Q00000XFamily Medicine E07166 (Hawaii)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 3144 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Choice HospicePhoenix, AZHospice
Honorhealth Mountain Vista Medical CenterMesa, AZHospital
Banner Desert Medical CenterMesa, AZHospital
Honorhealth Tempe Medical CenterTempe, AZHospital

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 Kenneth Lee Pettit allows following entities to bill medicare on his behalf.
Entity NameKenneth L Pettit DO LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750585279
PECOS PAC ID: 2163403072
Enrollment ID: O20040526001496
Entity NameComprehensive Hospice and Palliative Care, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407153745
PECOS PAC ID: 7618153792
Enrollment ID: O20110721000719
Entity NameRajiv Siddaramu MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467849422
PECOS PAC ID: 9638480593
Enrollment ID: O20150618000815
Entity NameMobileonedocs LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629424379
PECOS PAC ID: 3274825849
Enrollment ID: O20160630001583
Entity NameCurana Health of Arizona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467187237
PECOS PAC ID: 5496125569
Enrollment ID: O20230105003010
Entity NameCH Specialty Services Az LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982303392
PECOS PAC ID: 7214301621
Enrollment ID: O20230327002334

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 Kenneth Lee 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 AddressPractice Location Address
Dr Kenneth Lee Pettit, DO
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (702) 579-3203		Dr Kenneth Lee Pettit, DO
2720 N Tenaya Way,
Las Vegas, NV 89128-0424

Ph: (702) 671-1111

Reviews and Comments


Family Medicine Doctors in Las Vegas, NV

Patricia May B. Lacsina, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128
Phone: 702-877-5199    
Nittu Singh, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113
Phone: 702-952-9171    Fax: 702-952-9170
Dr. Alan Michael Zeto Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-207-8263    
Dr. Kevin Ray Buckwalter, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128
Phone: 702-568-8450    Fax: 702-568-8451
Frederick J Lippmann, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149
Phone: 702-383-2273    Fax: 702-366-0570
Dr. Constance Brown, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121
Phone: 702-606-8737    Fax: 702-485-5212
Dr. Chad Robinson Black, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169
Phone: 702-369-5582    Fax: 702-369-8470

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.