Eric Wayne Pettyjohn, MD in Lake Mary, FL

Eric Wayne Pettyjohn, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Lake Mary, Florida. His current practice location is 1141 Patterson Ter, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at (844) 407-4070.

Eric Wayne Pettyjohn is licensed to practice in Florida (license number ME156239) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356846299.

Contact Information

	Eric Wayne Pettyjohn, MD
	1141 Patterson Ter, Lake Mary, FL 32746-2203
	(844) 407-4070
	(407) 743-3050

Map and Direction

Physician's Profile

Full Name	Eric Wayne Pettyjohn
Gender	Male
Speciality	Family Medicine - Sports Medicine
Location	1141 Patterson Ter, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356846299
Provider Enumeration Date: 03/23/2018
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 2365775624
Enrollment ID: I20220808001588

Medical Identifiers

Medical identifiers for Eric Wayne Pettyjohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356846299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	ME156239 (Florida)	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. Eric Wayne Pettyjohn allows following entities to bill medicare on his behalf.

Entity Name	Rothman Orthopaedics Of Florida,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669086872 PECOS PAC ID: 4880009786 Enrollment ID: O20210225002644

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. Eric Wayne Pettyjohn 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
Eric Wayne Pettyjohn, MD 833 Chestnut St Ste 520, Philadelphia, PA 19107-4430 Ph: (267) 339-7843	Eric Wayne Pettyjohn, MD 1141 Patterson Ter, Lake Mary, FL 32746-2203 Ph: (844) 407-4070

Reviews and Comments

Family Medicine Doctors in Lake Mary, FL

Shellie Graham-lapp, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746 Phone: 407-333-2273 Fax: 407-333-3939
Dr. Kristina Howes Berger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746 Phone: 407-333-1550 Fax: 407-333-3081
Carlos Mercado, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1307 S International Pkwy, Suite 2091, Lake Mary, FL 32746 Phone: 407-771-0404 Fax: 407-771-0405
Dr. Angela R Merzenich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Lake Mary Blvd, Suite 109, Lake Mary, FL 32746 Phone: 407-878-0910 Fax: 407-878-0911
Dr. Durgabhavani B Valay, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Timberlachen Cir, Lake Mary, FL 32746 Phone: 407-880-0011 Fax: 407-880-7792
Louella Pritchette, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Timberlachen Cir, Lake Mary, FL 32746 Phone: 407-333-9877 Fax: 407-333-9881
Dr. Ronald Bosco Benard Saborio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346

Eric Wayne Pettyjohn, MD - Medicare Family Medicine in Lake Mary, FL