About
Jacita Booker Petway is a Psychologist in Albemarle, North Carolina. She graduated in 2007. She has over 15 years of experience. Jacita B. Petway is a group member of Novant Medical Group Inc. Contact Jacita Booker Petway to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 7810159027
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Daymark Recovery Services Inc
Gender
Female
Years in Practice
15 years
Healthcare Provider Taxonomy
- Code: 103T00000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
Credentials
- Doctor of Psychology (PSY.D.)
Individual MIPS
Merit-Based Incentive Payment System (MIPS) final scores and performance category scores for therapists.
Quality Category Score
PI Category Score
IA Category Score
Final MIPS Score
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 |
Group Practices
Group practices this therapist belongs to includes:
| Novant Medical Group Inc | |
|---|---|
| Address | 13815 Professional Ctr Dr |
| Suite 100 | |
| Huntersville, NC 28078-7951 | |
| Group PAC ID | 1153234893 |
| Group Members | 1989 |
| Novant Medical Group Inc | |
|---|---|
| Address | 1900 Randolph Rd |
| Suite 800 | |
| Charlotte, NC 28207-1110 | |
| Group PAC ID | 1153234893 |
| Group Members | 1989 |
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | LPA# 3738 Verify | NC |
Education
| Year Graduated |
|---|
| 2007 |
Practice Locations
1000 N 1st St Ste 1
Albemarle, NC 28001-2819
Phone Number: (704) 938-2117
Fax Number: (704) 938-2636
13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone Number: (704) 384-1320
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