Dr Laquetta Nicol Pettway, MD in Vestavia, AL

Dr Laquetta Nicol Pettway, MD is a medicare enrolled "Internal Medicine" physician in Vestavia, Alabama. She went to University Of Alabama School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice St. Vincent's Urgent Care Llc and her current practice location is 1360 Montgomery Hwy, Suite 114, Vestavia, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 978-7550.

Dr Laquetta Nicol Pettway is licensed to practice in Alabama (license number MD.19390) 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 1376588095.

Contact Information

	Dr Laquetta Nicol Pettway, MD
	1360 Montgomery Hwy, Suite 114, Vestavia, AL 35216-2749
	(205) 978-7550
	(205) 978-7551

Map and Direction

Physician's Profile

Full Name	Dr Laquetta Nicol Pettway
Gender	Female
Speciality	Internal Medicine
Experience	30 Years
Location	1360 Montgomery Hwy, Vestavia, Alabama
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 Laquetta Nicol Pettway attended and graduated from University Of Alabama School Of Medicine in 1994

NPI Data:

NPI Number: 1376588095
Provider Enumeration Date: 06/17/2006
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 8921133679
Enrollment ID: I20100319000189

Medical Identifiers

Medical identifiers for Dr Laquetta Nicol Pettway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376588095	NPI	-	NPPES
051119644	Other	AL	BCBS
1376588095	Other	AL	TRICARE SOUTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD.19390 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Vincent's Urgent Care Llc	9032463666	5

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 Laquetta Nicol Pettway allows following entities to bill medicare on her behalf.

Entity Name	American Family Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157

Entity Name	St. Vincent's Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346605821 PECOS PAC ID: 9032463666 Enrollment ID: O20181116001029

Entity Name	Oak Street Health Physicians Group Of Alabama, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770161432 PECOS PAC ID: 9133538432 Enrollment ID: O20210517000591

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 Laquetta Nicol Pettway 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 Laquetta Nicol Pettway, MD Po Box 746063, Atlanta, GA 30374-6063 Ph: (312) 733-9730	Dr Laquetta Nicol Pettway, MD 1360 Montgomery Hwy, Suite 114, Vestavia, AL 35216-2749 Ph: (205) 978-7550

Reviews and Comments

Internal Medicine Doctors in Vestavia, AL

Dr. Tofey James Leon Iv, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3140 Cahaba Heights Rd, Vestavia, AL 35243 Phone: 205-967-7302
Caroline Howard Studdard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8000 Liberty Pkwy Ste 114, Vestavia, AL 35242 Phone: 205-968-5988 Fax: 205-968-5990
Jian Feng, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2116 Montreat Ln Apt B, Vestavia, AL 35216 Phone: 205-567-5314
Archana Balasubramanya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1817 Surrey Oaks Ln, Vestavia, AL 35243 Phone: 423-767-4327 Fax: 423-928-1353
Dr. Hayes Williams, M.D., PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2017 Canyon Rd, Suite 41, Vestavia, AL 35216 Phone: 205-757-8212 Fax: 205-834-8111
Paula D Moore, M. D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Rocky Ridge Rd, Suite 200, Vestavia, AL 35243 Phone: 205-286-3200 Fax: 205-286-3201

Dr Laquetta Nicol Pettway, MD - Medicare Internal Medicine in Vestavia, AL