Stacy Peterson, in Erie, CO - Medicare Dentist Provider

Stacy Peterson, is a medicare enrolled "Dentist" provider in Erie, Colorado. Her current practice location is 1927 Colorado State Hwy 7, Suite 101, Erie, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 874-9039.

Stacy Peterson is licensed to practice in Colorado (license number DEN.00205330) 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 1093444804.

Contact Information

	Stacy Peterson,
	1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516
	(720) 874-9039
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Peterson
Gender	Female
Speciality	Dentist
Location	1927 Colorado State Hwy 7, Erie, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093444804
Provider Enumeration Date: 06/07/2022
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 5193241628
Enrollment ID: I20250428004367

Medical Identifiers

Medical identifiers for Stacy Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093444804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN.00205330 (Colorado)	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. Stacy Peterson allows following entities to bill medicare on her behalf.

Entity Name	Sunrise Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902005382 PECOS PAC ID: 0648164780 Enrollment ID: O20040329001864

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. Stacy 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
Stacy Peterson, 11605 Destination Dr Apt 5404, Broomfield, CO 80021-4793 Ph: (701) 426-9415	Stacy Peterson, 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 Ph: (720) 874-9039

Reviews and Comments

Dentist in Erie, CO

Giselle Serrano, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 Phone: 720-548-4240
Dr. Kelvan Clifford Luff, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 10 Stewart Ct, Erie, CO 80516 Phone: 352-216-2846
Dr. Daniel Mccullough, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2297 State Highway 7, Erie, CO 80516 Phone: 720-399-0034
Dr. Tara L Carroll, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3200 Village Vista Dr Unit 130, Erie, CO 80516 Phone: 303-962-6400
Dr. Alison Elaine Grover, D.D.S, Dentist Medicare: Medicare Enrolled Practice Location: 570 Gallegos Cir, Erie, CO 80516 Phone: 303-229-2125
Dr. Patrick David Goss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1342 Fletcher Dr, Erie, CO 80516 Phone: 720-272-6558

Stacy Peterson, - Medicare Dentist in Erie, CO