Darlene L Petersen, MD in Roy, UT - Medicare Family Practice

Darlene L Petersen, MD is a medicare enrolled "Family Medicine" physician in Roy, Utah. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Central Utah Clinic Pc, Four Corners Community Behavioral Health Inc and her current practice location is 5640 S 3500 W, Roy, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-2838.

Darlene L Petersen is licensed to practice in Utah (license number 292621-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376744433.

Contact Information

	Darlene L Petersen, MD
	5640 S 3500 W, Roy, UT 84067-9158
	(801) 773-2838
	(801) 773-3025

Map and Direction

Physician's Profile

Full Name	Darlene L Petersen
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	5640 S 3500 W, Roy, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Darlene L Petersen graduated from medical school in 2006

NPI Data:

NPI Number: 1376744433
Provider Enumeration Date: 05/29/2007
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1557413903
Enrollment ID: I20090715000402

Medical Identifiers

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

Identifier	Type	State	Issuer
1376744433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	292621-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davis Hospital And Medical Center	Layton, UT	Hospital
Mckay Dee Hospital	Ogden, UT	Hospital
Ogden Regional Medical Center	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391
Four Corners Community Behavioral Health Inc	2769377415	15

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. Darlene L Petersen allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	Four Corners Community Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487715330 PECOS PAC ID: 2769377415 Enrollment ID: O20040220000304

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. Darlene L 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
Darlene L Petersen, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Darlene L Petersen, MD 5640 S 3500 W, Roy, UT 84067-9158 Ph: (801) 773-2838

Reviews and Comments

Family Medicine Doctors in Roy, UT

Kurtis Don Ellis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100 Fax: 801-475-1621
Diane Eh Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1937 W 5700 S, Roy, UT 84067 Phone: 801-773-9380
Jared Don Hiatt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100
Dr. Brent E Wallace, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100
Kelly R Amann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901
Dr. John R Wood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100
Dr. Isaac Samuel Sparks, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 W 5950 S, Family Medicine, Roy, UT 84067 Phone: 801-387-8100 Fax: 801-387-8223

Darlene L Petersen, MD - Medicare Family Practice in Roy, UT