Robert John Pettit, MD in Idaho Falls, ID

Robert John Pettit, MD is a Pediatrics physician based in Idaho Falls, Idaho. Robert John Pettit is licensed to practice in Idaho (license number M6067) and his current practice location is 3430 Washington Pkwy, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 523-3060.

NPI number for Robert John Pettit is 1518071174 and his current mailing address is 3430 Washington Pkwy, Idaho Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518071174.

Contact Information

	Robert John Pettit, MD
	3430 Washington Pkwy, Idaho Falls, ID 83404-7579
	(208) 523-3060
	(208) 523-0028

Map and Direction

Physician's Profile

Full Name	Robert John Pettit
Gender	Male
Speciality	Pediatrics
Location	3430 Washington Pkwy, Idaho Falls, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1518071174
Provider Enumeration Date: 08/19/2006
Last Update Date: 09/10/2009

Medical Identifiers

Medical identifiers for Robert John Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518071174	NPI	-	NPPES
0117419	Medicaid	MT
114945800	Medicaid	WY
000010005951	Other	ID	BLUE SHIELD
1285786046	Medicaid	WY
002298200	Medicaid	ID
10678	Other	ID	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M6067 (Idaho)	Primary

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. Robert John Pettit is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Robert John Pettit, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060	Robert John Pettit, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060

Reviews and Comments

Pediatrics Doctors in Idaho Falls, ID

Shannon Jenkins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404 Phone: 208-535-4575 Fax: 208-535-4569
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939

Robert John Pettit, MD - Pediatrics in Idaho Falls, ID