ELIZABETH MARIE PETTY MD
NPI 1447331889
Medical Genetics - Clinical Genetics (M.D.) in Madison, WI

Q: What is Elizabeth Petty's NPI number?

The NPI number for Elizabeth Petty is 1447331889. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Elizabeth Petty's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Petty was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment

1500 HIGHLAND AVE, MADISON, WI 53705(608) 263-3301(608) 265-7429 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elizabeth Marie Petty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MARIE PETTY MD (NPI 1447331889) is an individual clinical genetics (m.d.) provider in Madison, Wisconsin, licensed in Wisconsin (28794-20) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1986).

NPPES Registry Identity

NPI1447331889

Entity TypeIndividualFemale

Primary Taxonomy207SG0201X

Provider Legal NameELIZABETH MARIE PETTYCredential: MD

Location Address1500 HIGHLAND AVEMadison, WI 53705-2274

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485 · Fax (608) 833-0999

Phone(608) 263-3301

Fax(608) 265-7429

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1986

Enumeration DateOctober 18, 2006

Last NPPES UpdateAugust 20, 2015

✔ NPI 1447331889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in WI · 28794-20

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedPediatricsTaxonomy 208000000X · License 28794-20 (WI)

1500 HIGHLAND AVE, Madison, WI 53705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Marie Petty Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294879631

PECOS Enrollment IDI20150824001303

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN THOMSON LCSW

Social Worker (Clinical)

1500 HIGHLAND AVE, ROOM 102
MADISON, WI 53705

Dane County (608) 263-5815

ALYSSA WALSH

Psychologist