Mr Thomas Christopher Pettinger, DO is a medicare enrolled "Family Medicine" physician in Vail, Arizona. His current practice location is
14413 East Sands Ranch Road, Vail, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 661-6089.
Mr Thomas Christopher Pettinger is licensed to practice in Arizona (license number 1515) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891884433.
Physician's Profile
| Full Name | Mr Thomas Christopher Pettinger |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 14413 East Sands Ranch Road, Vail, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891884433
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 06/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537187448
- Enrollment ID: I20051109000826
Medical Identifiers
Medical identifiers for Mr Thomas Christopher Pettinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891884433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 20A4257 (California) | Secondary |
| 207Q00000X | Family Medicine | 1515 (Arizona) | Primary |
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 Thomas Christopher Pettinger allows following entities to bill medicare on his behalf.
| Entity Name | Benson Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
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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 Thomas Christopher Pettinger 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 Thomas Christopher Pettinger, DO 14413 East Sands Ranch Road, Vail, AZ 85641-8876 Ph: (520) 661-6089 | Mr Thomas Christopher Pettinger, DO 14413 East Sands Ranch Road, Vail, AZ 85641-8876 Ph: (520) 661-6089 |
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