Dr Raena M Pettitt, DO in Lynchburg, VA - Medicare Family Medicine

Dr Raena M Pettitt, DO is a medicare enrolled "Family Medicine" physician in Lynchburg, Virginia. Her current practice location is 2321 Wards Rd, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 582-2273.

Dr Raena M Pettitt is licensed to practice in Virginia (license number 0102201453) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124025085.

Contact Information

	Dr Raena M Pettitt, DO
	2321 Wards Rd, Lynchburg, VA 24502-2101
	(434) 582-2273
	(434) 582-1363

Map and Direction

Physician's Profile

Full Name	Dr Raena M Pettitt
Gender	Female
Speciality	Family Medicine
Location	2321 Wards Rd, Lynchburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124025085
Provider Enumeration Date: 07/06/2005
Last Update Date: 09/21/2016

Medicare PECOS Information:

PECOS PAC ID: 5395713978
Enrollment ID: I20040921001071

Medical Identifiers

Medical identifiers for Dr Raena M Pettitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124025085	NPI	-	NPPES
010215048	Medicaid	VA
203639329013	Other		TRICARE PROVIDER NUMBER
010215048	Other		VA PREMIER PROVIDER NUMBE
186414	Other		ANTHEM PROVIDER NUMBER
203639329	Other		PCHP PROVIDER NUMBER
D5084	Other		MEDCOST PROVIDER NUMBER
2379390	Other		CIGNA PROVIDER NUMBER
78660	Other		SENTARA/OPTIMA PROVIDER N
203639329	Other		UNITED HEALTHCARE PROVIDE
329088	Other		SOUTHERN HEALTH PROVIDER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0102201453 (Virginia)	Primary

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 Raena M Pettitt allows following entities to bill medicare on her behalf.

Entity Name	Central Virginia Family Physicians, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528155892 PECOS PAC ID: 1759356694 Enrollment ID: O20050627000421

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011

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 Raena M Pettitt 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 Raena M Pettitt, DO 2321 Wards Rd, Lynchburg, VA 24502-2101 Ph: (434) 582-2273	Dr Raena M Pettitt, DO 2321 Wards Rd, Lynchburg, VA 24502-2101 Ph: (434) 582-2273

Reviews and Comments

Family Medicine Doctors in Lynchburg, VA

Gregg R. Albers, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2811 Linkhorne Dr, Suite A, Lynchburg, VA 24503 Phone: 434-384-1581 Fax: 434-384-5609
Dr. Sebastian J Ksionski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Oak Ln, Lynchburg, VA 24503 Phone: 434-200-4175
Carrie Y, Beaumont, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1971 University Blvd, Lynchburg, VA 24502 Phone: 434-582-2514 Fax: 434-582-2516
Louis B Graham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 20304 Timberlake Rd, Lynchburg, VA 24502 Phone: 434-237-6471 Fax: 434-237-8810
Patricia Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273
Dr. Cory Joseph Edwards, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2323 Memorial Ave Ste 10, Lynchburg, VA 24501 Phone: 434-200-5200 Fax: 434-200-1641
Matthew A Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501 Phone: 434-200-5200

Dr Raena M Pettitt, DO - Medicare Family Medicine in Lynchburg, VA