Anna Marie Petersen, FNP-BC in South Lake Tahoe, CA

Anna Marie Petersen, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in South Lake Tahoe, California. Her current practice location is 2201 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 543-5623.

Anna Marie Petersen is licensed to practice in California (license number 95022656) 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 1174245021.

Contact Information

	Anna Marie Petersen, FNP-BC
	2201 South Ave, South Lake Tahoe, CA 96150-7025
	(530) 543-5623
	Not Available

Map and Direction

Provider's Profile

Full Name	Anna Marie Petersen
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2201 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174245021
Provider Enumeration Date: 09/16/2022
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 4385013010
Enrollment ID: I20221219002596

Medical Identifiers

Medical identifiers for Anna Marie Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174245021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95022656 (California)	Primary

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. Anna Marie Petersen allows following entities to bill medicare on her behalf.

Entity Name	Tahoe Carson Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834

Entity Name	Barton Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208

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. Anna Marie 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
Anna Marie Petersen, FNP-BC 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: () -	Anna Marie Petersen, FNP-BC 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: (530) 543-5623

Reviews and Comments

Nurse Practitioner Nurses in South Lake Tahoe, CA

Amy Pittlick Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-539-6620 Fax: 530-539-6617
Christine Jo Cifelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619
Molly Dowd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Ms. Patience Wenck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-542-4961 Fax: 530-542-4964
Candice Lauren Raynor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5497 Fax: 530-541-8683
John Tyler Eichenberger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150 Phone: 925-822-4292

Anna Marie Petersen, FNP-BC - Medicare Nurse Practitioner in South Lake Tahoe, CA