| Casey Pettit, PA | |
|
608 William St, Buffalo, NY 14206-1649 | |
| (716) 668-7051 | |
| (716) 668-7069 |
| Full Name | Casey Pettit |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 608 William St, Buffalo, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821368291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 015512 (New York) | Primary |
| Entity Name | County of Erie Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134210313 PECOS PAC ID: 8325029374 Enrollment ID: O20050321000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Pettit, PA 608 William St, Buffalo, NY 14206-1649 Ph: (716) 858-8026 | Casey Pettit, PA 608 William St, Buffalo, NY 14206-1649 Ph: (716) 668-7051 |
Michelle Doyle Mccarthy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-2364 |
Sarah Marie Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-698-5375 |
Michael Pham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Maple Rd, Buffalo, NY 14226 Phone: 716-829-3316 Fax: 716-829-2564 |
Ms. Kaylan Michelle Mayo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3297 Bailey Ave, Buffalo, NY 14215 Phone: 716-847-2441 |
Mary L Nolan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 565 Abbott Rd, @ Mercy Hospital Of Buffalo, Buffalo, NY 14220 Phone: 518-383-5450 Fax: 518-383-4223 |
Erin B Middler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 High St, Buffalo, NY 14203 Phone: 716-862-1969 Fax: 716-630-1348 |
Farrah Shidid, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 |