Andrea R Petersen, RD - Medicare Dietitian in Osceola, WI

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Andrea R Petersen, RD is a medicare enrolled "Dietitian, Registered" provider in Osceola, Wisconsin. Her current practice location is 2600 65th Avenue, Osceola, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 294-2111.

Andrea R Petersen is licensed to practice in Wisconsin (license number 40815) 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 1669661559.

Contact Information

Andrea R Petersen, RD
2600 65th Avenue,
Osceola, WI 54020-3024
(715) 294-2111
(715) 294-5758

Map and Direction




Healthcare Provider's Profile

Full NameAndrea R Petersen
GenderFemale
SpecialityDietitian, Registered
Location2600 65th Avenue, Osceola, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669661559
  • Provider Enumeration Date: 10/17/2007
  • Last Update Date: 10/21/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8729164082
  • Enrollment ID: I20080326000820

Medical Identifiers

Medical identifiers for Andrea R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669661559NPI-NPPES
898228OtherWICERTIFICATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 898228 (Wisconsin)Secondary
133V00000XDietitian, Registered 40815 (Wisconsin)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. Andrea R Petersen allows following entities to bill medicare on her behalf.
Provider NameSt. Croix Regional Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217

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. Andrea R 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 AddressPractice Location Address
Andrea R Petersen, RD
Po Box 218, 2600 65th Avenue,
Osceola, WI 54020-3024

Ph: (715) 294-2111		Andrea R Petersen, RD
2600 65th Avenue,
Osceola, WI 54020-3024

Ph: (715) 294-2111

Reviews and Comments


Dietitian, Registered in Osceola, WI

Chelsea O'brien,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2600 65th Ave, Osceola, WI 54020
Phone: 715-294-5698    
Tawnya Jo Koenig, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2600 65th Avenue, Osceola, WI 54020
Phone: 715-294-2111    Fax: 715-294-5758
Erin O'connell Swanson, RDN, LDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 2600 65th Ave, Osceola, WI 54020
Phone: 715-294-2111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.