Machelle F Peterson, CNM is a
Advanced Practice Midwife based in Tensed, Idaho. Machelle F Peterson is licensed to practice in Idaho (license number 62928) and her current practice location is
468 Lonesome Dove Ln, Tensed, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 874-3095.
NPI number for Machelle F Peterson is 1689216095 and her current mailing address is Po Box 93, Tensed, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689216095.
Provider's Profile
Full Name | Machelle F Peterson |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 468 Lonesome Dove Ln, Tensed, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689216095
- Provider Enumeration Date: 10/17/2019
- Last Update Date: 11/06/2023
Medical Identifiers
Medical identifiers for Machelle F Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689216095 | NPI | - | NPPES |
62928 | Other | ID | CNM PROVIDER LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 61016081 (Washington) | Secondary |
367A00000X | Advanced Practice Midwife | 62928 (Idaho) | 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. Machelle F Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Machelle F Peterson, CNM Po Box 93, Tensed, ID 83870-0093 Ph: (208) 874-3095 | Machelle F Peterson, CNM 468 Lonesome Dove Ln, Tensed, ID 83870-8387 Ph: (208) 874-3095 |
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