Dr Kenneth Lee Pettit, DO - Medicare General Practice in Chandler, AZ

Dr Kenneth Lee Pettit, DO is a medicare enrolled "Family Medicine" physician in Chandler, Arizona. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1997 and has 27 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Mobileonedocs, Llc, Mobileonedocs, Llc and his current practice location is 40 S Kyrene Rd, Suite 1, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 706-0174.

Dr Kenneth Lee Pettit is licensed to practice in Arizona (license number 3144) 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 1447296298.

Contact Information

Dr Kenneth Lee Pettit, DO
40 S Kyrene Rd, Suite 1,
Chandler, AZ 85226-4675
(480) 706-0174
(480) 706-0117



Physician's Profile

Full NameDr Kenneth Lee Pettit
GenderMale
SpecialityGeneral Practice
Experience27 Years
Location40 S Kyrene Rd, Chandler, Arizona
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 Kenneth Lee Pettit attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1997
  NPI Data:
  • NPI Number: 1447296298
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 09/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284616616
  • Enrollment ID: I20040609000852

Medical Identifiers

Medical identifiers for Dr Kenneth Lee Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447296298NPI-NPPES
437609MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3144 (Arizona)Primary
207Q00000XFamily Medicine E07166 (Hawaii)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 3144 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Comprehensive Hospice And Palliative Care, LlcPhoenix, AZHospice
Mountain Vista Medical Center, LpMesa, AZHospital
St Luke's Medical CenterPhoenix, AZHospital

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 Kenneth Lee Pettit allows following entities to bill medicare on his behalf.
Entity NameKenneth L Pettit Do Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750585279
PECOS PAC ID: 2163403072
Enrollment ID: O20040526001496

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Entity NameComprehensive Hospice And Palliative Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407153745
PECOS PAC ID: 7618153792
Enrollment ID: O20110721000719

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Entity NameMobileonedocs, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629424379
PECOS PAC ID: 3274825849
Enrollment ID: O20160630001583

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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 Kenneth Lee 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 AddressPractice Location Address
Dr Kenneth Lee Pettit, DO
40 S Kyrene Rd, Suite 1,
Chandler, AZ 85226-4675

Ph: (480) 706-0174
Dr Kenneth Lee Pettit, DO
40 S Kyrene Rd, Suite 1,
Chandler, AZ 85226-4675

Ph: (480) 706-0174

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Family Medicine Doctors in Chandler, AZ

Dr. David Bebawy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 S Alma School Rd, Chandler, AZ 85286
Phone: 480-256-7420    Fax: 480-646-3826
Heidi U Rula, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 685 S Dobson Road, Chandler, AZ 85224
Phone: 480-821-2838    Fax: 480-821-9444
Srilakshmi Settipalli, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 811 S Hamilton St, Chandler, AZ 85225
Phone: 480-344-6100    Fax: 480-344-6101
Lorretta K Mccarthy, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3960 E Riggs Rd, Suite 1, Chandler, AZ 85249
Phone: 480-786-4441    Fax: 480-786-4609
Kurt Henry Steinke, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1343 N Alma School Rd Ste 160, Chandler, AZ 85224
Phone: 480-963-1853    Fax: 480-726-0695
Neha Maheshwari, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1343 N Alma School Rd, 205, Chandler, AZ 85224
Phone: 480-963-1853    
Stephan Zehring, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1435 S Alma School Rd, Chandler, AZ 85286
Phone: 480-668-1600    

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