Amanda Joan Petersen, APRN/CRNA in Duluth, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Amanda Joan Petersen, APRN/CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Duluth, Minnesota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Josephs Medical Center and her current practice location is Duluth Clinic, 400 East Third Street, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 786-8364.

Amanda Joan Petersen is licensed to practice in Minnesota (license number CRNA2273) 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 1063983724.

Contact Information

	Amanda Joan Petersen, APRN/CRNA
	Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951
	(218) 786-8364
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Joan Petersen
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	Duluth Clinic, Duluth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Joan Petersen graduated from nursing school in 2018

NPI Data:

NPI Number: 1063983724
Provider Enumeration Date: 12/06/2018
Last Update Date: 12/31/2018

Medicare PECOS Information:

PECOS PAC ID: 8426395302
Enrollment ID: I20190131000008

Medical Identifiers

Medical identifiers for Amanda Joan Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063983724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CRNA2273 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health St Joseph's Medical Center	Brainerd, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Center	8224948443	215

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. Amanda Joan Petersen allows following entities to bill medicare on her behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Entity Name	St Josephs Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468

Entity Name	Brainerd Lakes Surgery Center L L C
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1750378295 PECOS PAC ID: 5395782213 Enrollment ID: O20050412001404

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. Amanda Joan 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
Amanda Joan Petersen, APRN/CRNA 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222	Amanda Joan Petersen, APRN/CRNA Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 Ph: (218) 786-8364

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Duluth, MN

Christian Conner, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-4150
Scott Ian Halvorson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Jennifer M Heitzman, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Emily Kathryn Eash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534
Julie Kay Hendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364
Jesse Stokke, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534
Luke Andrew Schumacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534

Amanda Joan Petersen, APRN/CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Duluth, MN