Dr Kirk John Petersen, DMD in Smith River, CA

Dr Kirk John Petersen, DMD is a medicare enrolled "Dentist" provider in Smith River, California. His current practice location is 501 N Indian Rd, Smith River, California. You can reach out to his office (for appointments etc.) via phone at (707) 487-0215.

Dr Kirk John Petersen is licensed to practice in California (license number 35534) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285638106.

Contact Information

	Dr Kirk John Petersen, DMD
	501 N Indian Rd, Smith River, CA 95567-9509
	(707) 487-0215
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kirk John Petersen
Gender	Male
Speciality	Dentist
Location	501 N Indian Rd, Smith River, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285638106
Provider Enumeration Date: 06/09/2005
Last Update Date: 03/03/2018

Medicare PECOS Information:

PECOS PAC ID: 9638310402
Enrollment ID: I20180921000930

Medical Identifiers

Medical identifiers for Dr Kirk John Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285638106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	35534 (California)	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. Dr Kirk John 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
Dr Kirk John Petersen, DMD 1301 S Pebble Beach Dr, Crescent City, CA 95531-3339 Ph: (951) 265-2240	Dr Kirk John Petersen, DMD 501 N Indian Rd, Smith River, CA 95567-9509 Ph: (707) 487-0215

Reviews and Comments

Dentist in Smith River, CA

Vincent Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 N Indian Rd, Smith River, CA 95567 Phone: 707-825-4042 Fax: 707-825-5045
Dr. John D. Wassenmiller, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 N Indian Rd, Smith River, CA 95567 Phone: 707-487-0215
Dr. Wilmer Hechanova, DDS Dentist Medicare: Medicare Enrolled Practice Location: 501 N Indian Rd, Smith River, CA 95567 Phone: 707-825-4042 Fax: 707-825-5045
Michael Arnold Moss, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17295 Hiway 101 N, Smith River, CA 95567 Phone: 707-487-8700 Fax: 707-487-3700

Dr Kirk John Petersen, DMD - Medicare Dentist in Smith River, CA