Mrs Jennifer Pettit, APRN in Sallisaw, OK - Medicare Nurse Practitioner

Mrs Jennifer Pettit, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Sallisaw, Oklahoma. Her current practice location is 301 S J T Stites St, Sallisaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 774-1400.

Mrs Jennifer Pettit is licensed to practice in Oklahoma (license number 203920) 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 1114599081.

Contact Information

	Mrs Jennifer Pettit, APRN
	301 S J T Stites St, Sallisaw, OK 74955-9302
	(918) 774-1400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Pettit
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	301 S J T Stites St, Sallisaw, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114599081
Provider Enumeration Date: 07/12/2021
Last Update Date: 06/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9537524368
Enrollment ID: I20230502000098

Medical Identifiers

Medical identifiers for Mrs Jennifer Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114599081	NPI	-	NPPES
288261758	Medicaid	OK
288261758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	203920 (Oklahoma)	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. Mrs Jennifer Pettit allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Mrs Jennifer Pettit 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
Mrs Jennifer Pettit, APRN 301 S J T Stites St, Sallisaw, OK 74955-9302 Ph: (918) 774-1400	Mrs Jennifer Pettit, APRN 301 S J T Stites St, Sallisaw, OK 74955-9302 Ph: (918) 774-1400

Reviews and Comments

Nurse Practitioner Nurses in Sallisaw, OK

Alexandria Katelyn Crocker, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S J T Stites St, Sallisaw, OK 74955 Phone: 918-775-9150 Fax: 918-775-4778
Courtney Davis, FNP-BS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2715 E Phillips Ave, Sallisaw, OK 74955 Phone: 918-817-9996
Stefanie Labs, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 S Kerr Blvd, Sallisaw, OK 74955 Phone: 800-640-9741
Aaron Harris, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 W Ruth Ave, Sallisaw, OK 74955 Phone: 918-235-6622 Fax: 539-250-4118
Charlotte Barrett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 E Redwood Ave, Sallisaw, OK 74955 Phone: 918-775-1619
Mrs. Audra Agent O'dell, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1109 E Cherokee Ave, Sallisaw, OK 74955 Phone: 918-790-3309 Fax: 918-775-0587

Mrs Jennifer Pettit, APRN - Medicare Nurse Practitioner in Sallisaw, OK