Mitchell Ryan Petty, is a medicare enrolled "Urology" physician in Carlsbad, New Mexico. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2020 and has 6 years of diverse experience with area of expertise as Urology. He is a member of the group practice Pecos Valley Of New Mexico Llc and his current practice location is
2420 W Pierce St Ste 102, Carlsbad, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 887-4100.
Mitchell Ryan Petty is licensed to practice in New Mexico (license number DO2025-0162) 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 1407485808.
Physician's Profile
| Full Name | Mitchell Ryan Petty |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 6 Years |
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| Location | 2420 W Pierce St Ste 102, Carlsbad, New Mexico |
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| 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:
- Mitchell Ryan Petty attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2020
NPI Data:
- NPI Number: 1407485808
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 10/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749608990
- Enrollment ID: I20251105000249
Medical Identifiers
Medical identifiers for Mitchell Ryan Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407485808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | DO2025-0162 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Pecos Valley Of New Mexico Llc | 2466359781 | 32 |
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. Mitchell Ryan 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 |
Mitchell Ryan Petty, 419 W San Antonio St, Lockhart, TX 78644-2657 Ph: (512) 913-8036 | Mitchell Ryan Petty, 2420 W Pierce St Ste 102, Carlsbad, NM 88220-3517 Ph: (575) 887-4100 |
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