Dr Iris Havlina Donovan Petersen, MD - Medicare Pediatrics in Olympia, WA

Dr Iris Havlina Donovan Petersen, MD is a medicare enrolled "Pediatrics" physician in Olympia, Washington. Her current practice location is 3434 12th Ave Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 413-8470.

Dr Iris Havlina Donovan Petersen is licensed to practice in Washington (license number MD61140296) 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 1659868560.

Contact Information

Dr Iris Havlina Donovan Petersen, MD
3434 12th Ave Ne,
Olympia, WA 98506-5175
(360) 413-8470
Not Available

Map and Direction




Physician's Profile

Full NameDr Iris Havlina Donovan Petersen
GenderFemale
SpecialityPediatrics
Location3434 12th Ave Ne, Olympia, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659868560
  • Provider Enumeration Date: 04/16/2018
  • Last Update Date: 08/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466885215
  • Enrollment ID: I20191209001352

Medical Identifiers

Medical identifiers for Dr Iris Havlina Donovan Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659868560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 11405455-1205 (Utah)Secondary
208000000XPediatrics MD61140296 (Washington)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. Dr Iris Havlina Donovan 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 AddressPractice Location Address
Dr Iris Havlina Donovan Petersen, MD
3434 12th Ave Ne,
Olympia, WA 98506-5175

Ph: (360) 413-8470
Dr Iris Havlina Donovan Petersen, MD
3434 12th Ave Ne,
Olympia, WA 98506-5175

Ph: (360) 413-8470

Reviews and Comments


Pediatrics Doctors in Olympia, WA

Dr. Amy Z Belko, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3434 12th Ave Ne, Olympia, WA 98506
Phone: 360-413-8470    Fax: 360-413-8490
Dr. Bradford Douglas Stephens, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3434 12th Ave Ne, Olympia, WA 98506
Phone: 360-413-8470    Fax: 360-413-8490
Dr. Lisa Marie Steinman Barer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1920 Black Lake Blvd Sw, Olympia, WA 98512
Phone: 360-534-9222    Fax: 360-534-9223
Dr. Sarah Anita Lopez, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3516 12th Ave Ne, Olympia, WA 98506
Phone: 360-918-0604    
Dr. Lin Jiang, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2112 Caton Way Sw, Olympia, WA 98502
Phone: 360-754-1629    
Henry L Degive, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3516 12th Ave Ne, Olympia, WA 98506
Phone: 360-918-0604    Fax: 360-456-6504
Dr. Adam Haim Boldt, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3434 12th Ave Ne, Olympia, WA 98506
Phone: 360-413-8470    Fax: 360-413-8490

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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