Kenneth G Petty, MD in Chico, CA - Medicare Diagnostic Radiology

Kenneth G Petty, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chico, California. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Enloe Medical Center and his current practice location is 1702 Esplanade, Chico, California. You can reach out to his office (for appointments etc.) via phone at (530) 898-0500.

Kenneth G Petty is licensed to practice in California (license number RHL144948) 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 1609839083.

Contact Information

	Kenneth G Petty, MD
	1702 Esplanade, Chico, CA 95926-3315
	(530) 898-0500
	(530) 898-9647

Map and Direction

Physician's Profile

Full Name	Kenneth G Petty
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	1702 Esplanade, Chico, California
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:

Kenneth G Petty attended and graduated from University Of Missouri, Columbia School Of Medicine in 1992

NPI Data:

NPI Number: 1609839083
Provider Enumeration Date: 04/07/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1759287451
Enrollment ID: I20080707000694

Medical Identifiers

Medical identifiers for Kenneth G Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609839083	NPI	-	NPPES
00G846410	Medicaid	CA
G84641	Other	CA	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	RHL144948 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Enloe Medical Center	Chico, CA	Hospital
Oroville Hospital	Oroville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Enloe Medical Center	9739092388	325

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. Kenneth G Petty allows following entities to bill medicare on his behalf.

Entity Name	North State Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023051620 PECOS PAC ID: 5698687796 Enrollment ID: O20031211001189

Entity Name	Enloe Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696

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. Kenneth G 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
Kenneth G Petty, MD 1720 Esplanade, Chico, CA 95926-3315 Ph: (530) 898-0504	Kenneth G Petty, MD 1702 Esplanade, Chico, CA 95926-3315 Ph: (530) 898-0500

Reviews and Comments

Radiology Doctors in Chico, CA

James Warren, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1702 Esplanade, Chico, CA 95926 Phone: 530-898-0500 Fax: 530-898-9647
George Rawley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1702 Esplanade, Chico, CA 95926 Phone: 530-898-0500 Fax: 530-898-9647
James Schlund, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1720 Esplanade, Chico, CA 95926 Phone: 530-898-0500 Fax: 530-898-9647
Richard W Livesay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1702 Esplanade, Chico, CA 95926 Phone: 530-898-0500 Fax: 530-898-9647
Karl Alvin Schultz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1531 Esplanade, Chico, CA 95926 Phone: 530-332-7300
Frederick Brandon, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1555 Springfield Dr, Chico, CA 95928 Phone: 530-433-9633 Fax: 530-433-9634
Joseph Howard Mcintosh, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1720 Esplanade, Chico, CA 95926 Phone: 530-898-0504 Fax: 530-898-9647

Kenneth G Petty, MD - Medicare Diagnostic Radiology in Chico, CA