Dr Adrienne Dawn Pettebone, DO in Portsmouth, VA - Medicare General Practice

Dr Adrienne Dawn Pettebone, DO is a medicare enrolled "General Practice" physician in Portsmouth, Virginia. Her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-1043.

Dr Adrienne Dawn Pettebone is licensed to practice in Virginia (license number 0102201977) 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 1043353774.

Contact Information

	Dr Adrienne Dawn Pettebone, DO
	620 John Paul Jones Cir, Portsmouth, VA 23708-2197
	(757) 953-1043
	Not Available

Physician's Profile

Full Name	Dr Adrienne Dawn Pettebone
Gender	Female
Speciality	General Practice
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043353774
Provider Enumeration Date: 02/14/2007
Last Update Date: 11/23/2015

Medicare PECOS Information:

PECOS PAC ID: 9537306220
Enrollment ID: I20130517000181

Medical Identifiers

Medical identifiers for Dr Adrienne Dawn Pettebone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043353774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0102201977 (Virginia)	Primary

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. Dr Adrienne Dawn Pettebone 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
Dr Adrienne Dawn Pettebone, DO 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 Ph: () -	Dr Adrienne Dawn Pettebone, DO 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 Ph: (757) 953-1043

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General Practice Doctors in Portsmouth, VA

Dr. Derek Matthew Miletich, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000
Dr. Edwin Gonzalez, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-8229 Fax: 757-953-8225
Dr. Katie Marie Mcauliffe, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-314-0830
Dr. William R Shannon, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3238
Dr. Raphael Fajardo Guanzon, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 704 London St # A, Portsmouth, VA 23704 Phone: 757-399-0513
Dr. Joel Metzger, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1128

Dr Adrienne Dawn Pettebone, DO - Medicare General Practice in Portsmouth, VA