Tina Renae Peterson, APRN-BC in Ada, OK - Medicare Nurse Practitioner

Tina Renae Peterson, APRN-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ada, Oklahoma. Her current practice location is 1000 Rolling Hills Ln, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3600.

Tina Renae Peterson is licensed to practice in Oklahoma (license number 214202) 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 1528747896.

Contact Information

	Tina Renae Peterson, APRN-BC
	1000 Rolling Hills Ln, Ada, OK 74820-9415
	(580) 436-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Renae Peterson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1000 Rolling Hills Ln, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528747896
Provider Enumeration Date: 07/14/2023
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7618321381
Enrollment ID: I20230928002769

Medical Identifiers

Medical identifiers for Tina Renae Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528747896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	214202 (Oklahoma)	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. Tina Renae Peterson allows following entities to bill medicare on her behalf.

Entity Name	Millennium Medical Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859

Entity Name	Robert O. Morton, M.d., Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144870478 PECOS PAC ID: 3375976798 Enrollment ID: O20191125002501

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. Tina Renae Peterson 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
Tina Renae Peterson, APRN-BC Po Box 11, Sulphur, OK 73086-0011 Ph: (580) 399-1452	Tina Renae Peterson, APRN-BC 1000 Rolling Hills Ln, Ada, OK 74820-9415 Ph: (580) 436-3600

Reviews and Comments

Nurse Practitioner Nurses in Ada, OK

Akilah Talibah Dunn, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd., Ada, OK 74820 Phone: 580-436-3980
Mrs. Linda Louise Spooner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2330 Arlington St, Ada, OK 74820 Phone: 580-332-2011 Fax: 580-332-9537
Dr. Tosha Lucille Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9989
Qiong Mu Ross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159
Robin M Losee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570
Michelle Ann Cole, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9899 Fax: 580-310-9818
Shari M Rhodes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Arlington St Ste F, Ada, OK 74820 Phone: 580-279-1788

Tina Renae Peterson, APRN-BC - Medicare Nurse Practitioner in Ada, OK