| India Pettus, PA-C | |
|
5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 | |
| (301) 657-9876 | |
| Not Available |
| Full Name | India Pettus |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 5530 Wisconsin Ave, Chevy Chase, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306270533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0005125 (Maryland) | Primary |
| 363AS0400X | Physician Assistant - Surgical | C0005125 (Maryland) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus St Lukes Hospital | Duluth, MN | Hospital |
| University Of Md Capital Region Medical Center | Upper marlboro, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Luke's Hospital Of Duluth | 7113834839 | 409 |
| Dimensions Healthcare Associates, Inc | 1557269743 | 198 |
| Entity Name | St. Luke's Hospital of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| Mailing Address | Practice Location Address |
|---|---|
| India Pettus, PA-C 7250 Parkway Dr Ste 500, Hanover, MD 21076-1343 Ph: (443) 949-0814 | India Pettus, PA-C 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 Ph: (301) 657-9876 |
Jessica Gandhi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5550 Friendship Blvd Ste T90, Chevy Chase, MD 20815 Phone: 240-737-0080 |
Megan Baird, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8401 Connecticut Ave, Ste 800, Chevy Chase, MD 20815 Phone: 301-949-8100 Fax: 301-962-7450 |
Rachel A White, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5454 Wisconsin Ave, Suite 1045, Chevy Chase, MD 20815 Phone: 301-652-4828 Fax: 301-652-2070 |
Lara Lindgren, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815 Phone: 301-657-9876 Fax: 301-657-8229 |
Meggie S Tortolero, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815 Phone: 301-942-2212 Fax: 415-252-7176 |
Adam Hartheimer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5454 Wisconsin Ave Ste 1535, Chevy Chase, MD 20815 Phone: 301-652-8847 |
Carolina Meneses Whalen, MCMSC, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5530 Wisconsin Ave Ste 1455, Chevy Chase, MD 20815 Phone: 301-656-6700 |