William Harry Pettibon, PHD in Sarasota, FL - Medicare Clinical Psychologist Provider

William Harry Pettibon, PHD is a medicare enrolled "Psychologist" provider in Sarasota, Florida. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice William H Pettibon Phd Pa and his current practice location is 3800 S Tamiami Trl Unit 210, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 366-1693.

William Harry Pettibon is licensed to practice in Florida (license number PY6096) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629267877.

Contact Information

	William Harry Pettibon, PHD
	3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909
	(941) 366-1693
	(941) 922-7574

Map and Direction

Healthcare Provider's Profile

Full Name	William Harry Pettibon
Gender	Male
Speciality	Clinical Psychologist
Experience	28 Years
Location	3800 S Tamiami Trl Unit 210, Sarasota, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William Harry Pettibon graduated from medical school in 1996

NPI Data:

NPI Number: 1629267877
Provider Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007

Medicare PECOS Information:

PECOS PAC ID: 7416005939
Enrollment ID: I20100420000926

Medical Identifiers

Medical identifiers for William Harry Pettibon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629267877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY6096 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
William H Pettibon Phd Pa	7618025131	3

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. William Harry Pettibon allows following entities to bill medicare on his behalf.

Entity Name	William H Pettibon Phd Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336314707 PECOS PAC ID: 7618025131 Enrollment ID: O20090511000172

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. William Harry Pettibon 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
William Harry Pettibon, PHD 6521 Keystone Dr, Sarasota, FL 34231-7133 Ph: (941) 366-1693	William Harry Pettibon, PHD 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909 Ph: (941) 366-1693

Reviews and Comments

Psychologist in Sarasota, FL

Dr. Diane A. Mckay, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1990 Main St, Suite 750, Sarasota, FL 34236 Phone: 941-365-7240 Fax: 941-309-5184
Dr. Robert L Stephenson, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1755 18th St, Sarasota, FL 34234 Phone: 561-790-1191
Stuart Horance, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3393 Magic Oak Ln, Sarasota, FL 34232 Phone: 941-993-3533
Dr. Amy L Hoffman, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2844 Proctor Rd, Suite 3, Sarasota, FL 34231 Phone: 941-894-2818
Dr. Jacqueline S Roller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2831 Ringling Blvd., Suite 206-c, Sarasota, FL 34237 Phone: 941-951-1919
Dr. Rona W. Ross, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 330 S. Pineapple Ave., Suite 110, Sarasota, FL 34236 Phone: 941-954-6050 Fax: 941-965-2083
Paula Cooper, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2650 Bahia Vista St Ste 201, Sarasota, FL 34239 Phone: 941-685-6098 Fax: 941-776-8956

William Harry Pettibon, PHD - Medicare Psychologist in Sarasota, FL