Mr Jamie Keith Pettus, LPN in Benton, AR - Case Manager/Care Coordinator

Mr Jamie Keith Pettus, LPN is a Case Manager/care Coordinator based in Benton, Arkansas. Mr Jamie Keith Pettus is licensed to practice in * (Not Available) (license number ) and his current practice location is 6701 Highway 67 Bldg 70, Benton, Arkansas. He can be reached at his office (for appointments etc.) via phone at (501) 315-3344.

NPI number for Mr Jamie Keith Pettus is 1417141920 and his current mailing address is 6701 Highway 67 Bldg 70, Benton, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417141920.

Contact Information

	Mr Jamie Keith Pettus, LPN
	6701 Highway 67 Bldg 70, Benton, AR 72015-8909
	(501) 315-3344
	(501) 303-3186

Provider's Profile

Full Name	Mr Jamie Keith Pettus
Gender	Male
Speciality	Case Manager/care Coordinator
Location	6701 Highway 67 Bldg 70, Benton, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1417141920
Provider Enumeration Date: 08/29/2007
Last Update Date: 10/12/2009

Medical Identifiers

Medical identifiers for Mr Jamie Keith Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417141920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	L38028 (Arkansas)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	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. Mr Jamie Keith Pettus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jamie Keith Pettus, LPN 6701 Highway 67 Bldg 70, Benton, AR 72015-8909 Ph: (501) 315-3344	Mr Jamie Keith Pettus, LPN 6701 Highway 67 Bldg 70, Benton, AR 72015-8909 Ph: (501) 315-3344

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Mr Jamie Keith Pettus, LPN - Case Manager/Care Coordinator in Benton, AR