William Robert Pettey, MD in Fort Worth, TX

William Robert Pettey, MD is a medicare enrolled "Surgery" physician in Fort Worth, Texas. His current practice location is 6100 Harris Pkwy, #390, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 370-9011.

William Robert Pettey is licensed to practice in Texas (license number G8340) 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 1487642450.

Contact Information

	William Robert Pettey, MD
	6100 Harris Pkwy, #390, Fort Worth, TX 76132-4124
	(817) 370-9011
	(817) 346-0380

Map and Direction

Physician's Profile

Full Name	William Robert Pettey
Gender	Male
Speciality	Surgery
Location	6100 Harris Pkwy, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487642450
Provider Enumeration Date: 10/12/2005
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4789873696
Enrollment ID: I20110107000582

Medical Identifiers

Medical identifiers for William Robert Pettey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487642450	NPI	-	NPPES
131434601	Medicaid	TX
4254295	Other		AETNA
91159	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G8340 (Texas)	Secondary
208600000X	Surgery	G8340 (Texas)	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. William Robert Pettey allows following entities to bill medicare on his behalf.

Entity Name	Vohra Post Acute Care Physicians Of Texas, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821424789 PECOS PAC ID: 0042447682 Enrollment ID: O20131205001723

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. William Robert Pettey 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
William Robert Pettey, MD 6100 Harris Pkwy, #390, Fort Worth, TX 76132-4124 Ph: (817) 370-9011	William Robert Pettey, MD 6100 Harris Pkwy, #390, Fort Worth, TX 76132-4124 Ph: (817) 370-9011

Reviews and Comments

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William Robert Pettey, MD - Medicare Surgery in Fort Worth, TX