Michael Logan Pettus, MD is a medicare enrolled "Anesthesiology" physician in Huntersville, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Providence Anesthesiology Associates Pa and his current practice location is
9735 Kincey Ave Ste 100, Huntersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 500-2332.
Michael Logan Pettus is licensed to practice in North Carolina (license number 202000739) 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 1376962712.
Physician's Profile
Full Name | Michael Logan Pettus |
---|
Gender | Male |
---|
Speciality | Anesthesiology |
---|
Experience | 10 Years |
---|
Location | 9735 Kincey Ave Ste 100, Huntersville, North Carolina |
---|
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:
- Michael Logan Pettus attended and graduated from University Of South Carolina School Of Medicine in 2014
NPI Data:
- NPI Number: 1376962712
- Provider Enumeration Date: 04/14/2014
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284947102
- Enrollment ID: I20200625000633
Medical Identifiers
Medical identifiers for Michael Logan Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376962712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 202000739 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Anesthesiology Associates Pa | 3971566761 | 251 |
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. Michael Logan Pettus allows following entities to bill medicare on his behalf.
Entity Name | Providence Anesthesiology Associates Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
---|
Entity Name | East Carolina Anesthesia Associates Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
---|
Entity Name | Carolinas Pain Center Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1912292335 PECOS PAC ID: 0446420525 Enrollment ID: O20110829000045 |
---|
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. Michael Logan Pettus 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 |
Michael Logan Pettus, MD 9735 Kincey Ave Ste 100, Huntersville, NC 28078-9120 Ph: (704) 500-2332 | Michael Logan Pettus, MD 9735 Kincey Ave Ste 100, Huntersville, NC 28078-9120 Ph: (704) 500-2332 |
Reviews and Comments