| Kimberly Denise Petitt, DO | |
|
17516 Us Highway 59 Ste 110, New Caney, TX 77357-8718 | |
| (832) 478-0200 | |
| (832) 376-7509 |
| Full Name | Kimberly Denise Petitt |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 17516 Us Highway 59 Ste 110, New Caney, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194827865 | NPI | - | NPPES |
| 1194827865 | Other | TX | TRICARE SOUTH |
| 188605302 | Medicaid | TX | |
| 8CJ367 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M4912 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harbor Hospice Of Central Houston, Lp | Houston, TX | Hospice |
| Harbor Hospice Of Houston, Lp | Houston, TX | Hospice |
| Harbor Hospice Of Richmond, Lp | Sugar land, TX | Hospice |
| Harbor Hospice Of East Houston Lp | Humble, TX | Hospice |
| Harbor Hospice Of Baytown Lp | Baytown, TX | Hospice |
| Cleveland Health Care Center | Cleveland, TX | Nursing home |
| Crimson Heights Health & Wellness | Humble, TX | Nursing home |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Hospital Docs Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871792309 PECOS PAC ID: 7517052822 Enrollment ID: O20071002000420 |
| Entity Name | Lonestar Hospital Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
| Entity Name | Jameson Bowles Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225696164 PECOS PAC ID: 3678804234 Enrollment ID: O20191011001888 |
| Entity Name | Round Table Specialist Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497152268 PECOS PAC ID: 1254754609 Enrollment ID: O20200702000716 |
| Entity Name | Prime Hospitalist Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699342261 PECOS PAC ID: 2163810342 Enrollment ID: O20211020000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Denise Petitt, DO 17516 Us Highway 59 Ste 110, New Caney, TX 77357-8718 Ph: (832) 478-0200 | Kimberly Denise Petitt, DO 17516 Us Highway 59 Ste 110, New Caney, TX 77357-8718 Ph: (832) 478-0200 |