Mr Fredely Petiote, MD in Fort Smith, AR - Medicare Internal Medicine

Mr Fredely Petiote, MD is a medicare enrolled "Internal Medicine" physician in Fort Smith, Arkansas. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Central Florida Inpatient Medicine Llc and his current practice location is 1001 Towson Ave, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 441-5005.

Mr Fredely Petiote is licensed to practice in Florida (license number ME161341) 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 1639599194.

Contact Information

	Mr Fredely Petiote, MD
	1001 Towson Ave, Fort Smith, AR 72901-4921
	(479) 441-5005
	(479) 441-4917

Map and Direction

Physician's Profile

Full Name	Mr Fredely Petiote
Gender	Male
Speciality	Internal Medicine
Experience	15 Years
Location	1001 Towson Ave, Fort Smith, Arkansas
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:

Mr Fredely Petiote graduated from medical school in 2009

NPI Data:

NPI Number: 1639599194
Provider Enumeration Date: 04/23/2014
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4981905692
Enrollment ID: I20230413000461

Medical Identifiers

Medical identifiers for Mr Fredely Petiote such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639599194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME161341 (Florida)	Primary
207R00000X	Internal Medicine	E-10781 (Arkansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Orlando	Orlando, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Florida Inpatient Medicine Llc	7911805254	94

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. Mr Fredely Petiote allows following entities to bill medicare on his behalf.

Entity Name	Central Florida Inpatient Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649228859 PECOS PAC ID: 7911805254 Enrollment ID: O20031223000824

Entity Name	Post Acute Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20220708001928

Entity Name	Ertha Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790552875 PECOS PAC ID: 9032553250 Enrollment ID: O20240215002778

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. Mr Fredely Petiote 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
Mr Fredely Petiote, MD 1001 Towson Ave Ofc, Fort Smith, AR 72901-4921 Ph: (479) 441-5005	Mr Fredely Petiote, MD 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-5005

Reviews and Comments

Internal Medicine Doctors in Fort Smith, AR

Dr. David A Hebert, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Christopher Brian Cross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289
Fiorella Nawar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-709-7402
Charles Moussallem, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901 Phone: 479-709-7480 Fax: 479-709-7479
Dr. Jason Glenn Daily, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-4000 Fax: 479-274-4099
Ongkarn Sarasombath, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194
Dr. Jacob K Joseph, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289

Mr Fredely Petiote, MD - Medicare Internal Medicine in Fort Smith, AR