Sandra Petersen, in Saint George, UT - Medicare Marriage & Family Therapist Provider

Sandra Petersen, is a medicare enrolled "Marriage & Family Therapist" provider in Saint George, Utah. Her current practice location is 474 W 200 N, Saint George, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 634-5600.

Sandra Petersen is licensed to practice in Utah (license number 10254931-3902) 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 1568916260.

Contact Information

	Sandra Petersen,
	474 W 200 N, Saint George, UT 84770-4505
	(435) 634-5600
	(435) 634-8700

Map and Direction

Healthcare Provider's Profile

Full Name	Sandra Petersen
Gender	Female
Speciality	Marriage & Family Therapist
Location	474 W 200 N, Saint George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568916260
Provider Enumeration Date: 08/10/2016
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1456888510
Enrollment ID: I20241231002284

Medical Identifiers

Medical identifiers for Sandra Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568916260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	10254931-3902 (Utah)	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. Sandra Petersen allows following entities to bill medicare on her behalf.

Entity Name	Southwest Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922053586 PECOS PAC ID: 0941246086 Enrollment ID: O20050629000639

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. Sandra 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
Sandra Petersen, 474 W 200 N Ste 300, St George, UT 84770-4505 Ph: (435) 634-5600	Sandra Petersen, 474 W 200 N, Saint George, UT 84770-4505 Ph: (435) 634-5600

Reviews and Comments

Marriage & Family Therapist in Saint George, UT

Janessa Campbell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr Ste Vw103, Saint George, UT 84790 Phone: 435-767-1532
Dr. Douglas Tyrone Livingston Quinn, PSYD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1652 Navajo Dr, Saint George, UT 84790 Phone: 415-656-9419
Mr. David L Nutter, MA/MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr Ste Vw101, Saint George, UT 84790 Phone: 435-225-6566
Celeste Marie West, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 437 S Bluff St Ste 302, Saint George, UT 84770 Phone: 435-634-8848 Fax: 435-634-8884
Taylor Chambers, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 393 E Riverside Dr Ste 3a, Saint George, UT 84790 Phone: 541-633-5719
Matthew Valentine, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr, Saint George, UT 84790 Phone: 435-359-2404
Chase Brewer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 491 N Bluff St Ste 301, Saint George, UT 84770 Phone: 435-215-6113

Sandra Petersen, - Medicare Couples Therapy in Saint George, UT