Ms Kirsten Leigh Petersen, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Riverside, Rhode Island. Her current practice location is
501 Wampanoag Trl, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 785-0040.
Ms Kirsten Leigh Petersen is licensed to practice in Rhode Island (license number 00286) 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 1538386503.
Healthcare Provider's Profile
Full Name | Ms Kirsten Leigh Petersen |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 501 Wampanoag Trl, Riverside, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538386503
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921536111
- Enrollment ID: I20250116000145
Medical Identifiers
Medical identifiers for Ms Kirsten Leigh Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538386503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 46151 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 00286 (Rhode Island) | 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. Ms Kirsten Leigh Petersen allows following entities to bill medicare on her behalf.
Entity Name | Child And Family Psychiatry Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126 |
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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. Ms Kirsten Leigh 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 |
Ms Kirsten Leigh Petersen, LMFT 501 Wampanoag Trl, Riverside, RI 02915-1507 Ph: () - | Ms Kirsten Leigh Petersen, LMFT 501 Wampanoag Trl, Riverside, RI 02915-1507 Ph: (401) 785-0040 |
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