Annie Petersen, MACP is a
Student In An Organized Health Care Education/training Program based in Brattleboro, Vermont. Annie Petersen is licensed to practice in Vermont (license number 097.0135864) and her current practice location is
51 Fairview Street, Brattleboro, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 254-6028.
NPI number for Annie Petersen is 1801662150 and her current mailing address is 390 River St, Springfield, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801662150.
Healthcare Provider's Profile
| Full Name | Annie Petersen |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 51 Fairview Street, Brattleboro, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801662150
- Provider Enumeration Date: 11/28/2023
- Last Update Date: 12/16/2025
Medical Identifiers
Medical identifiers for Annie Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801662150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 097.0135864 (Vermont) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 097.0135864 (Vermont) | 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. Annie Petersen 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 |
|---|
Annie Petersen, MACP
390 River St,
Springfield, VT 05156-2226
Ph: (802) 886-4500 | Annie Petersen, MACP
51 Fairview Street,
Brattleboro, VT 05301-2579
Ph: (802) 254-6028 |
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