Dr Theodore G Pettle, MD in Port St Lucie, FL

Dr Theodore G Pettle, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Port St Lucie, Florida. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Mcallen Hospitalist Group Pllc and his current practice location is 1700 Se Hillmoor Dr, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 335-9600.

Dr Theodore G Pettle is licensed to practice in Florida (license number ME139195) 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 1003102211.

Contact Information

	Dr Theodore G Pettle, MD
	1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539
	(772) 335-9600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Theodore G Pettle
Gender	Male
Speciality	Gastroenterology
Experience	14 Years
Location	1700 Se Hillmoor Dr, Port St Lucie, Florida
Accepts Medicare Assignments	Yes. 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 Theodore G Pettle graduated from medical school in 2010

NPI Data:

NPI Number: 1003102211
Provider Enumeration Date: 06/27/2011
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 0840415592
Enrollment ID: I20180702000230

Medical Identifiers

Medical identifiers for Dr Theodore G Pettle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003102211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	R6457 (Texas)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	ME139195 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Texas Health System	Edinburg, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcallen Hospitalist Group Pllc	9830113836	99

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 Theodore G Pettle allows following entities to bill medicare on his behalf.

Entity Name	Mcallen Hospitalist Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356361976 PECOS PAC ID: 9830113836 Enrollment ID: O20060117001076

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 Theodore G Pettle 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 Theodore G Pettle, MD 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 Ph: (772) 335-9600	Dr Theodore G Pettle, MD 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 Ph: (772) 335-9600

Reviews and Comments

Internal Medicine Doctors in Port St Lucie, FL

Alan Steven Collin, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1871 Se Tiffany Ave, Suite 100, Port St Lucie, FL 34952 Phone: 772-335-5666 Fax: 772-335-4826
Dr. Gerald John Rutecki, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 473 Nw Blue Lake Dr, Port St Lucie, FL 34986 Phone: 772-336-8039
Dr. Dana D Dameron Jr., D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 475 Nw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-800-3037 Fax: 772-807-1409
Ahmet Bahadir Ergin, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Port St Lucie, FL 34952 Phone: 772-335-9600 Fax: 772-335-7972
Dr. Philip Lortz, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1855 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-288-6300 Fax: 772-288-6374
Edwin Benedict Flanagan, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1815

Dr Theodore G Pettle, MD - Medicare Gastroenterology in Port St Lucie, FL