Dr Scott D Pethke, MD - Medicare Pulmonary Disease in Augusta, GA

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Dr Scott D Pethke, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Augusta, Georgia. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1993 and has 33 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Piedmont Specialty Hospital Billing Llc, Piedmont Providers Llc and his current practice location is 1301 Broad St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 922-5864.

Dr Scott D Pethke is licensed to practice in Georgia (license number 066307) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609828094.

Contact Information

Dr Scott D Pethke, MD
1301 Broad St,
Augusta, GA 30901-1055
(706) 922-5864
(706) 922-5819

Map and Direction




Physician's Profile

Full NameDr Scott D Pethke
GenderMale
SpecialityPulmonary Disease
Experience33 Years
Location1301 Broad St, Augusta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Scott D Pethke attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1993
  NPI Data:
  • NPI Number: 1609828094
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 07/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860565116
  • Enrollment ID: I20110707000191

Medical Identifiers

Medical identifiers for Dr Scott D Pethke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609828094NPI-NPPES
1492582MedicaidLA
5808779OtherLAAETNA
4800148OtherLAUNITED HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 66307 (Georgia)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 10684R (Louisiana)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 066307 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Augusta HospitalAugusta, GAHospital
Piedmont Mcduffie HospitalThomson, GAHospital
Aiken Regional Medical CenterAiken, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Specialty Hospital Billing Llc4183986490252
Piedmont Providers Llc9830082825526

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 Scott D Pethke allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NameAugusta Lung Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619043049
PECOS PAC ID: 1052327285
Enrollment ID: O20060227000076
Entity NamePiedmont Specialty Hospital Billing LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699290510
PECOS PAC ID: 4183986490
Enrollment ID: O20180327001180

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 Scott D Pethke 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 Scott D Pethke, MD
1301 Broad St,
Augusta, GA 30901-1055

Ph: Not Available		Dr Scott D Pethke, MD
1301 Broad St,
Augusta, GA 30901-1055

Ph: (706) 922-5864

Reviews and Comments


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Phone: 706-922-6600    Fax: 706-650-0239

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.