Paul Wynn Peterson, LAMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bella Vista, Arkansas. He graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Marriage And Family Therapist. His current practice location is
17 Folkingham Ln, Bella Vista, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 260-7324.
Paul Wynn Peterson is licensed to practice in Arkansas (license number F1811011) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699231472.
Healthcare Provider's Profile
| Full Name | Paul Wynn Peterson |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 8 Years |
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| Location | 17 Folkingham Ln, Bella Vista, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Paul Wynn Peterson graduated from medical school in 2018
NPI Data:
- NPI Number: 1699231472
- Provider Enumeration Date: 02/16/2019
- Last Update Date: 02/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 9032600721
- Enrollment ID: I20251111000859
Medical Identifiers
Medical identifiers for Paul Wynn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699231472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | F1811011 (Arkansas) | 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. Paul Wynn 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 |
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Paul Wynn Peterson, LAMFT
Po Box 5922,
Bella Vista, AR 72714-0922
Ph: (501) 260-7324 | Paul Wynn Peterson, LAMFT
17 Folkingham Ln,
Bella Vista, AR 72715-3042
Ph: (501) 260-7324 |
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