Jacita Booker Petway, PSYD - Medicare Psychologist in Albemarle, NC

Jacita Booker Petway, PSYD is a medicare enrolled "Psychologist" provider in Albemarle, North Carolina. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Novant Medical Group Inc and her current practice location is 1000 N 1st St Ste 1, Albemarle, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 938-2117.

Jacita Booker Petway is licensed to practice in North Carolina (license number LPA# 3738) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477796316.

Contact Information

Jacita Booker Petway, PSYD
1000 N 1st St Ste 1,
Albemarle, NC 28001-2819
(704) 938-2117
(704) 938-2636



Healthcare Provider's Profile

Full NameJacita Booker Petway
GenderFemale
SpecialityClinical Psychologist
Experience17 Years
Location1000 N 1st St Ste 1, Albemarle, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacita Booker Petway graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1477796316
  • Provider Enumeration Date: 04/08/2009
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810159027
  • Enrollment ID: I20121019000685

Medical Identifiers

Medical identifiers for Jacita Booker Petway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477796316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LPA# 3738 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348931996

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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. Jacita Booker Petway allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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Entity NameDaymark Recovery Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558329243
PECOS PAC ID: 0547233975
Enrollment ID: O20040814000213

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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. Jacita Booker Petway 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
Jacita Booker Petway, PSYD
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833

Ph: (704) 939-1100
Jacita Booker Petway, PSYD
1000 N 1st St Ste 1,
Albemarle, NC 28001-2819

Ph: (704) 938-2117

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Psychologist in Albemarle, NC

Amanda Matthews, MA,LPA,HSP-PA,CSOTS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 350 Pee Dee Ave, Albemarle, NC 28001
Phone: 704-986-1500    
Janet Stephens Banks, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 213 N 2nd St, Albemarle, NC 28001
Phone: 704-982-9600    Fax: 704-982-8155
Mrs. Santina A Pfleeger, MA-LPA, HSP-PA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 130 N 1st St, Albemarle, NC 28001
Phone: 704-983-1134    Fax: 704-982-2552
Virginia Elaine Fee, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1040 E Main St, Albemarle, NC 28001
Phone: 704-984-4910    
Connie Smith Philbeck, L.P.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N 1st St, Albemarle, NC 28001
Phone: 704-983-2117    
Mr. James Marsh Cunningham, M.A., L.P.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 350 Pee Dee Ave, Albemarle, NC 28001
Phone: 704-986-1573    

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