Dane K Petersen, NP in Ventura, CA - Medicare Nurse Practitioner

Dane K Petersen, NP is a medicare enrolled "Nurse Practitioner" in Ventura, California. He went to Vanderbilt University School Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cardiology Associates Medical Group and his current practice location is 100 N Brent St Ste 301, Ventura, California. You can reach out to his office (for appointments etc.) via phone at (805) 653-0101.

Dane K Petersen is licensed to practice in California (license number NP95019314) 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 1033881669.

Contact Information

	Dane K Petersen, NP
	100 N Brent St Ste 301, Ventura, CA 93003-2836
	(805) 653-0101
	Not Available

Map and Direction

Provider's Profile

Full Name	Dane K Petersen
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	100 N Brent St Ste 301, Ventura, California
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:

Dane K Petersen attended and graduated from Vanderbilt University School Of Medicine in 2021

NPI Data:

NPI Number: 1033881669
Provider Enumeration Date: 10/01/2021
Last Update Date: 09/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1254722705
Enrollment ID: I20211217000712

Medical Identifiers

Medical identifiers for Dane K Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033881669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP95019314 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Memorial Hospital San Buenaventura	Ventura, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiology Associates Medical Group	6507763471	12

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. Dane K Petersen allows following entities to bill medicare on his behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Entity Name	Cardiology Associates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376641449 PECOS PAC ID: 6507763471 Enrollment ID: O20031217001137

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. Dane K 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
Dane K Petersen, NP 100 N Brent St Ste 301, Ventura, CA 93003-2836 Ph: (805) 653-0101	Dane K Petersen, NP 100 N Brent St Ste 301, Ventura, CA 93003-2836 Ph: (805) 653-0101

Reviews and Comments

Nurse Practitioner Nurses in Ventura, CA

Mrs. Molly Hall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2818 Pierpont Blvd, Ventura, CA 93001 Phone: 805-469-5123
Teresa Hong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave Ste 401, Ventura, CA 93003 Phone: 805-652-6201
Lindsay Ann Loft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave, Bldg 340, Ste 401, Ventura, CA 93003 Phone: 805-641-0141 Fax: 805-641-0430
Sarah Dinkler, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2945 Loma Vista Rd, Ventura, CA 93003 Phone: 805-667-8003 Fax: 805-667-8404
Colette B Frena, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3555 Loma Vista Rd Ste 110, Ventura, CA 93003 Phone: 805-653-0303 Fax: 805-642-1928
Mrs. Carlie Sue Corse, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2772 Johnson Dr Ste 100, Ventura, CA 93003 Phone: 805-642-1430
Mr. Jason Amurao, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1280 S Victoria Ave Ste 250, Ventura, CA 93003 Phone: 805-351-0745

Dane K Petersen, NP - Medicare Nurse Practitioner in Ventura, CA