Amanda Pettus, PA-C in Pasadena, CA - Medicare Physician Assistant

Amanda Pettus, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Pasadena, California. Her current practice location is 836 S Arroyo Pkwy, Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (650) 773-8498.

Amanda Pettus is licensed to practice in California (license number 53292) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144692237.

Contact Information

	Amanda Pettus, PA-C
	836 S Arroyo Pkwy, Pasadena, CA 91105-3212
	(650) 773-8498
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Pettus
Gender	Female
Speciality	Physician Assistant - Surgical
Location	836 S Arroyo Pkwy, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144692237
Provider Enumeration Date: 10/28/2015
Last Update Date: 03/19/2016

Medicare PECOS Information:

PECOS PAC ID: 1557664463
Enrollment ID: I20221229002400

Medical Identifiers

Medical identifiers for Amanda Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144692237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	53292 (California)	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. Amanda Pettus 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
Amanda Pettus, PA-C 20425 Sorrento Ln Apt 101, Porter Ranch, CA 91326-4582 Ph: (650) 773-8498	Amanda Pettus, PA-C 836 S Arroyo Pkwy, Pasadena, CA 91105-3212 Ph: (650) 773-8498

Reviews and Comments

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Amanda Pettus, PA-C - Medicare Physician Assistant in Pasadena, CA