Mrs Landon Eireen Pettit, A-GNP-C is a medicare enrolled "Internal Medicine - Geriatric Medicine" in Grand Jct, Colorado. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Medical Group Llc, Doctor Nurse Practice Llc and her current practice location is
603 28 1/4 Rd, Grand Jct, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 263-2600.
Mrs Landon Eireen Pettit is licensed to practice in Colorado (license number APN.0995293-NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205392560.
Provider's Profile
Full Name | Mrs Landon Eireen Pettit |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 603 28 1/4 Rd, Grand Jct, Colorado |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Landon Eireen Pettit graduated from nursing school in 2018
NPI Data:
- NPI Number: 1205392560
- Provider Enumeration Date: 02/12/2019
- Last Update Date: 06/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082949391
- Enrollment ID: I20190709002075
Medical Identifiers
Medical identifiers for Mrs Landon Eireen Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205392560 | NPI | - | NPPES |
RXN.0104530-NP | Other | CO | CO RXN |
APN.0995293 | Other | CO | COLORADO LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN.0995293-NP (Colorado) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | APN.0995293-NP (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Medical Group Llc | 1052612785 | 85 |
Doctor Nurse Practice Llc | 5294182606 | 2 |
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 Landon Eireen Pettit allows following entities to bill medicare on her behalf.
Entity Name | Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043640634 PECOS PAC ID: 1052612785 Enrollment ID: O20151222000695 |
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Entity Name | Doctor Nurse Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811422082 PECOS PAC ID: 5294182606 Enrollment ID: O20231107001344 |
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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 Landon Eireen 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 Landon Eireen Pettit, A-GNP-C Po Box 1727, Grand Jct, CO 81502-1727 Ph: (970) 263-2619 | Mrs Landon Eireen Pettit, A-GNP-C 603 28 1/4 Rd, Grand Jct, CO 81506-6019 Ph: (970) 263-2600 |
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