Jaron Lee Pettis, in La Porte, IN - Medicare General Surgery

Jaron Lee Pettis, is a medicare enrolled "Surgery" physician in La Porte, Indiana. He went to University Of South Carolina School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice La Porte Clinic Company Llc, Porter Physician Services Llc, Rci (wrs), Llc. and his current practice location is 1331 State St Ste 340, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 379-3166.

Jaron Lee Pettis is licensed to practice in Indiana (license number 01094579A) 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 1366903015.

Contact Information

	Jaron Lee Pettis,
	1331 State St Ste 340, La Porte, IN 46350-3112
	(219) 379-3166
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaron Lee Pettis
Gender	Male
Speciality	General Surgery
Experience	6 Years
Location	1331 State St Ste 340, La Porte, Indiana
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:

Jaron Lee Pettis attended and graduated from University Of South Carolina School Of Medicine in 2019

NPI Data:

NPI Number: 1366903015
Provider Enumeration Date: 03/26/2019
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0446589576
Enrollment ID: I20240924001379

Medical Identifiers

Medical identifiers for Jaron Lee Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366903015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	01094579A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
La Porte Hospital	La porte, IN	Hospital
Northwest Health - Porter	Valparaiso, IN	Hospital
Indiana University Health Starke Hospital	Knox, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Porte Clinic Company Llc	0446558357	59
Porter Physician Services Llc	1850482407	88
Rci (wrs), Llc.	5092624510	362

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. Jaron Lee Pettis allows following entities to bill medicare on his behalf.

Entity Name	Porter Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409

Entity Name	La Porte Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751

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. Jaron Lee Pettis 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
Jaron Lee Pettis, 1331 State St Ste 340, La Porte, IN 46350-3112 Ph: () -	Jaron Lee Pettis, 1331 State St Ste 340, La Porte, IN 46350-3112 Ph: (219) 379-3166

Reviews and Comments

Surgery Doctors in La Porte, IN

Christopher Adam Conn, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 600 Legacy Plz W, La Porte, IN 46350 Phone: 219-379-3166 Fax: 219-324-9730
Brian G Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 I St Fl 2, La Porte, IN 46350 Phone: 219-575-6060 Fax: 219-575-6004
Dr. Dorene Kay Zerfas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396
Dr. Steven William Chmil, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396
Dr. David Samuel Mendelowitz, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 State Street, Suite 2c, La Porte, IN 46350 Phone: 219-325-0152 Fax: 219-325-8621
James T Cornwell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602

Jaron Lee Pettis, - Medicare General Surgery in La Porte, IN