Bridget Leigh Petersen, in Mattituck, NY - Medicare Dentist Provider

Bridget Leigh Petersen, is a medicare enrolled "Dentist" provider in Mattituck, New York. Her current practice location is 11535 Main Rd, Mattituck, New York. You can reach out to her office (for appointments etc.) via phone at (631) 298-5021.

Bridget Leigh Petersen is licensed to practice in New York (license number 058009) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184044026.

Contact Information

	Bridget Leigh Petersen,
	11535 Main Rd, Mattituck, NY 11952-1566
	(631) 298-5021
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bridget Leigh Petersen
Gender	Female
Speciality	Dentist
Location	11535 Main Rd, Mattituck, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184044026
Provider Enumeration Date: 04/18/2014
Last Update Date: 12/03/2015

Medicare PECOS Information:

PECOS PAC ID: 3870897069
Enrollment ID: I20160209001220

Medical Identifiers

Medical identifiers for Bridget Leigh Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184044026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	058009 (New York)	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. Bridget Leigh Petersen 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 Address	Practice Location Address
Bridget Leigh Petersen, Po Box 1650, Mattituck, NY 11952-0904 Ph: (631) 298-5021	Bridget Leigh Petersen, 11535 Main Rd, Mattituck, NY 11952-1566 Ph: (631) 298-5021

Reviews and Comments

Dentist in Mattituck, NY

Peter William Redmond, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7555 Main Rd, Mattituck, NY 11952 Phone: 631-298-9168 Fax: 631-298-5728
Philip J Centonze, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5700 North Rd, Mattituck, NY 11952 Phone: 631-298-4667 Fax: 631-298-5873
Dr. Francis A Kestler, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11535 Main Rd, Mattituck, NY 11952 Phone: 631-298-5021 Fax: 631-298-0044
Dr. Alyssa Veneruso Feinman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7905 Main Rd, Mattituck, NY 11952 Phone: 631-298-2000 Fax: 631-298-8309
Dr. Alex Boukas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14695 Main Rd, Mattituck, NY 11952 Phone: 631-298-8334 Fax: 631-298-5221
Dr. Jordan Seider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11535 Main Road, Mattituck, NY 11952 Phone: 631-298-5021

Bridget Leigh Petersen, - Medicare Dentist in Mattituck, NY