Mr Wiley Drew Petersen, PA-C in Fort Hall, ID - Medicare Physician Assistant

Mr Wiley Drew Petersen, PA-C is a medicare enrolled "Family Medicine" physician in Fort Hall, Idaho. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mvh Pic Llc and his current practice location is 717 Mission Rd, Fort Hall, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 238-5435.

Mr Wiley Drew Petersen is licensed to practice in Idaho (license number PA-1714) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568920080.

Contact Information

	Mr Wiley Drew Petersen, PA-C
	717 Mission Rd, Fort Hall, ID 83203
	(208) 238-5435
	(208) 238-5440

Map and Direction

Physician's Profile

Full Name	Mr Wiley Drew Petersen
Gender	Male
Speciality	Physician Assistant
Experience	6 Years
Location	717 Mission Rd, Fort Hall, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Wiley Drew Petersen graduated from medical school in 2018

NPI Data:

NPI Number: 1568920080
Provider Enumeration Date: 03/04/2019
Last Update Date: 03/04/2019

Medicare PECOS Information:

PECOS PAC ID: 7618209156
Enrollment ID: I20230127001008

Medical Identifiers

Medical identifiers for Mr Wiley Drew Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568920080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	PA-1714 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Idaho falls, ID	Hospital
Portneuf Medical Center	Pocatello, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mvh Pic Llc	6709156904	15

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. Mr Wiley Drew 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
Mr Wiley Drew Petersen, PA-C Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 238-5435	Mr Wiley Drew Petersen, PA-C 717 Mission Rd, Fort Hall, ID 83203 Ph: (208) 238-5435

Reviews and Comments

Family Medicine Doctors in Fort Hall, ID

Shay Bullock, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 N. Mission Rd, Fort Hall, ID 83203 Phone: 208-380-9727
Dr. Douglas Lyons, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Mission Road, Fort Hall, ID 83203 Phone: 208-238-5456 Fax: 208-238-5465
Mr. James Fred Vook, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Mission Road, Fort Hall, ID 83203 Phone: 208-328-5456 Fax: 208-238-5465

Mr Wiley Drew Petersen, PA-C - Medicare Physician Assistant in Fort Hall, ID