William H Pettibon Phd Pa - Medicare Mental Health Clinic in Sarasota, FL

William H Pettibon Phd Pa is a medicare enrolled mental health clinic (Psychologist) in Sarasota, Florida. The current practice location for William H Pettibon Phd Pa is 3800 S Tamiami Trl Unit 210, Sarasota, Florida. For appointments, you can reach them via phone at (941) 366-1693. The mailing address for William H Pettibon Phd Pa is 6521 Keystone Dr, Sarasota, Florida and phone number is (941) 922-7574.

William H Pettibon Phd Pa is licensed to practice in Florida (license number PY6096). The clinic also participates in the medicare program and its NPI number is 1336314707. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (941) 366-1693.

Contact Information

William H Pettibon Phd Pa
3800 S Tamiami Trl Unit 210
Sarasota
FL 34239-6909
(941) 366-1693
(941) 922-7574

Mental Health Clinic Profile

Full NameWilliam H Pettibon Phd Pa
SpecialityPsychologist
Location3800 S Tamiami Trl Unit 210, Sarasota, Florida
Authorized Official Name and PositionWilliam Harry Pettibon (CLINICAL PSYCHOLOGIST/OWNER)
Authorized Official Contact9413661693
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
William H Pettibon Phd Pa
6521 Keystone Dr
Sarasota
FL 34231-7133

Ph: (941) 922-7574
William H Pettibon Phd Pa
3800 S Tamiami Trl Unit 210
Sarasota
FL 34239-6909

Ph: (941) 366-1693

NPI Details:

NPI Number1336314707
Provider Enumeration Date04/28/2008
Last Update Date04/28/2008

Medicare PECOS Information:

Medicare PECOS PAC ID7618025131
Medicare Enrollment IDO20090511000172

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Medical Identifiers

Medical identifiers for William H Pettibon Phd Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336314707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY6096 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. William H Pettibon Phd Pa acts as a billing entity for following providers:
Provider NamePaula L Cooper
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1043294325
PECOS PAC ID: 8224053228
Enrollment ID: I20051010000226

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Provider NameRachel J Wiseman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1447425137
PECOS PAC ID: 0941376362
Enrollment ID: I20080909000700

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Provider NameWilliam Pettibon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629267877
PECOS PAC ID: 7416005939
Enrollment ID: I20100420000926

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Provider NameWilliam N Vanderstine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437454212
PECOS PAC ID: 6800070319
Enrollment ID: I20110407000449

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Psychologist in Sarasota, FL

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Phone: 877-422-9355    Fax: 877-422-9355
Suncoast Therapy, Llc
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Practice Location: 5224 Station Way, Sarasota, FL 34233
Phone: 941-485-0121    Fax: 941-485-0519
Robert K Winegar Psy D
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Practice Location: 1991 Hyde Park St, Sarasota, FL 34239
Phone: 941-953-4313    Fax: 941-954-8631
Marilyn Pearlman Pa
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Medicare: Not Enrolled in Medicare
Practice Location: 3293 Fruitville Rd Unit 103, Sarasota, FL 34237
Phone: 941-366-4411    Fax: 941-366-4641
Dmr Counseling Services
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Practice Location: 2881 Clark Rd Ste 11, Sarasota, FL 34231
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Centerpointe Counseling And Recovery Of Sarasota
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Medicare: Not Enrolled in Medicare
Practice Location: 5632 Bee Ridge Rd, Unit101, Sarasota, FL 34233
Phone: 941-488-4811    Fax: 941-488-4899
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