Mark C Pettus, MD - Medicare Internal Medicine in Mt Pleasant, SC

Mark C Pettus, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mt Pleasant, South Carolina. His current practice location is 3578 Toomer Kiln Cir, Mt Pleasant, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 884-4810.

Mark C Pettus is licensed to practice in South Carolina (license number 28214) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528055209.

Contact Information

Mark C Pettus, MD
3578 Toomer Kiln Cir,
Mt Pleasant, SC 29466-9260
(843) 884-4810
Not Available



Physician's Profile

Full NameMark C Pettus
GenderMale
SpecialityInternal Medicine - Nephrology
Location3578 Toomer Kiln Cir, Mt Pleasant, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528055209
  • Provider Enumeration Date: 09/29/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779528732
  • Enrollment ID: I20050621000960

Medical Identifiers

Medical identifiers for Mark C Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528055209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 28214 (South Carolina)Primary

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. Mark C Pettus allows following entities to bill medicare on his behalf.
Entity NameBerkshire Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295765261
PECOS PAC ID: 1355232711
Enrollment ID: O20040324000088

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Entity NameBerkshire Faculty Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548212939
PECOS PAC ID: 8224068424
Enrollment ID: O20050817001122

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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. Mark C 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
Mark C Pettus, MD
138 Patricia Ave,
Dalton, MA 01226-2045

Ph: (413) 684-2305
Mark C Pettus, MD
3578 Toomer Kiln Cir,
Mt Pleasant, SC 29466-9260

Ph: (843) 884-4810

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Internal Medicine Doctors in Mt Pleasant, SC

Dr. Michael Mikola, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 180 Wingo Way, Stse 306, Mt Pleasant, SC 29464
Phone: 843-884-1777    Fax: 843-884-0710
Jonathan Edward Parrack, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464
Phone: 843-884-5200    
Jenny Mccallister Riley, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466
Phone: 843-881-5844    Fax: 843-789-1791
John W Mcdonald, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1208 Two Island Ct, Mt Pleasant, SC 29466
Phone: 843-884-6653    
Dr. Bryan H Frain, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464
Phone: 843-534-1770    Fax: 877-453-3943
Dr. Robert Scott Thompson, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 498 Wando Park Blvd Ste 500, Mt Pleasant, SC 29464
Phone: 843-216-8139    Fax: 866-834-5680
Dr. David Michael Ingraham, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464
Phone: 843-884-5200    Fax: 843-884-6417

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