Dr Charles William Pettus, MD - Medicare Cardiovascular Disease (cardiology) in Fayetteville, GA

Dr Charles William Pettus, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fayetteville, Georgia. He went to Mercer University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Piedmont Cardiology Of Atlanta, Llc and his current practice location is 1267 Highway 54 W, Ste 2200, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 716-0051.

Dr Charles William Pettus is licensed to practice in Georgia (license number 033675) 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 1912902107.

Contact Information

Dr Charles William Pettus, MD
1267 Highway 54 W, Ste 2200,
Fayetteville, GA 30214-2114
(770) 716-0051
(770) 716-0087



Physician's Profile

Full NameDr Charles William Pettus
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience35 Years
Location1267 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles William Pettus attended and graduated from Mercer University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1912902107
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 09/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2668557083
  • Enrollment ID: I20080616000404

Medical Identifiers

Medical identifiers for Dr Charles William Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912902107NPI-NPPES
000650413NOQMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 033675 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Newnan Hospital, IncNewnan, GAHospital
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Cardiology Of Atlanta, Llc0345321691402

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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. Dr Charles William Pettus allows following entities to bill medicare on his behalf.
Entity NamePiedmont Cardiology Of Atlanta, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275729691
PECOS PAC ID: 0345321691
Enrollment ID: O20080114000153

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Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117

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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. Dr Charles William Pettus 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 AddressPractice Location Address
Dr Charles William Pettus, MD
20 Francis Way, Suite 101,
Sharpsburg, GA 30277

Ph: (770) 253-0611
Dr Charles William Pettus, MD
1267 Highway 54 W, Ste 2200,
Fayetteville, GA 30214-2114

Ph: (770) 716-0051

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Internal Medicine Doctors in Fayetteville, GA

Carzadean Bernadette Hall, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 185 Franklin Farms Cir, Fayetteville, GA 30214
Phone: 404-216-0132    
Vipin Ramprasad Lohiya, M.D.
Cardiovascular Disease
Medicare: May Accept Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214
Phone: 678-829-1060    Fax: 678-829-1099
Connie Dupre, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214
Phone: 770-719-5601    
Poonam Ramani, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 105 Carnegie Pl Ste 103, Fayetteville, GA 30214
Phone: 770-716-7999    Fax: 770-716-8444
Sushee C Gadde, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214
Phone: 770-716-0051    Fax: 770-716-0087
Dr. John E Burney, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214
Phone: 678-817-6550    Fax: 404-350-8795
Dr. Bryan L Woods, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214
Phone: 770-719-3240    Fax: 770-719-3241

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