| Dr Theron M Pettit, MD | |
|
700 Ne 87th Ave, Vancouver, WA 98664-4896 | |
| (407) 864-3051 | |
| Not Available |
| Full Name | Dr Theron M Pettit |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 700 Ne 87th Ave, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245214279 | NPI | - | NPPES |
| 272039600 | Medicaid | FL | |
| 64060 | Other | BCBSFL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Homecare | Vancouver, WA | Home health agency |
| Orlando Health | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 1237 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 1249 |
| The Vancouver Clinic Inc Ps | 3173436490 | 581 |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theron M Pettit, MD 700 Ne 87th Ave, Vancouver, WA 98664-4896 Ph: (407) 864-3051 | Dr Theron M Pettit, MD 700 Ne 87th Ave, Vancouver, WA 98664-4896 Ph: (407) 864-3051 |
Kanuboddu Nagarjuna Reddy, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave Ste 220, Vancouver, WA 98664 Phone: 360-882-2778 | |
Phillip M Cullison Bonner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
Louise M Schultz, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Marissa Krienke, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave Ste And240, Vancouver, WA 98664 Phone: 360-882-2778 | |
Morgan Bigelow, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2525 Ne 139th St Ste 140, Vancouver, WA 98686 Phone: 360-822-2778 | |
Joel David Mclarry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Suite 210, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. Samuel Everett George, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19005 Se 34th St Bldg 3, Vancouver, WA 98683 Phone: 360-726-6720 Fax: 360-726-6729 |