Dr Wendell E Petty, MD in Idaho Falls, ID - Medicare Allergy/immunology

Dr Wendell E Petty, MD is a medicare enrolled "Allergy & Immunology" physician in Idaho Falls, Idaho. He graduated from medical school in 1972 and has 54 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Idaho Allergy And Asthma Clinic Pa and his current practice location is 3422 S 15th E, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-9292.

Dr Wendell E Petty is licensed to practice in Idaho (license number MD-2580) 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 1457312308.

Contact Information

	Dr Wendell E Petty, MD
	3422 S 15th E, Idaho Falls, ID 83404-8262
	(208) 529-9292
	(208) 525-6013

Map and Direction

Physician's Profile

Full Name	Dr Wendell E Petty
Gender	Male
Speciality	Allergy/immunology
Experience	54 Years
Location	3422 S 15th E, Idaho Falls, Idaho
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 Wendell E Petty graduated from medical school in 1972

NPI Data:

NPI Number: 1457312308
Provider Enumeration Date: 03/30/2006
Last Update Date: 06/21/2019

Medicare PECOS Information:

PECOS PAC ID: 0042268963
Enrollment ID: I20050107000247

Medical Identifiers

Medical identifiers for Dr Wendell E Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457312308	NPI	-	NPPES
76891	Other	ID	BLUE CROSS
000010004631	Other	ID	BLUE SHIELD
002516900	Medicaid	ID
030000684	Other	ID	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	MD-2580 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Idaho Allergy And Asthma Clinic Pa	2860440732	3

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 Wendell E Petty allows following entities to bill medicare on his behalf.

Entity Name	Idaho Allergy & Asthma Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003949298 PECOS PAC ID: 2860440732 Enrollment ID: O20071017000965

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 Wendell E Petty 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 Wendell E Petty, MD 3422 S 15th E, Idaho Falls, ID 83404-8262 Ph: (208) 529-9292	Dr Wendell E Petty, MD 3422 S 15th E, Idaho Falls, ID 83404-8262 Ph: (208) 529-9292

Reviews and Comments

Allergy & Immunology Doctors in Idaho Falls, ID

Dallas George Rindfleisch, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3155 Channing Way Ste A, Idaho Falls, ID 83404 Phone: 208-522-6044 Fax: 208-523-4862
Valerie Kay Ward, Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3422 S 15th E, Idaho Falls, ID 83404 Phone: 208-529-9292
David Aaron Petty, D.O. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3422 S 15th E, Idaho Falls, ID 83404 Phone: 208-529-9292 Fax: 208-523-2397

Dr Wendell E Petty, MD - Medicare Allergy/immunology in Idaho Falls, ID