David Petersen, in Brooklyn, NY - Medicare Nurse Practitioner

David Petersen, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn, New York. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Che Senior Care Therapy Services, Pc, Che Senior Psychological Services, Pc and his current practice location is 3512 Quentin Rd, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (888) 515-3834.

David Petersen is licensed to practice in New York (license number 2024030602) 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 1225497894.

Contact Information

	David Petersen,
	3512 Quentin Rd, Brooklyn, NY 11234-4244
	(888) 515-3834
	Not Available

Map and Direction

Provider's Profile

Full Name	David Petersen
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	3512 Quentin Rd, Brooklyn, New York
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:

David Petersen graduated from nursing school in 2015

NPI Data:

NPI Number: 1225497894
Provider Enumeration Date: 02/11/2016
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 5496051351
Enrollment ID: I20160303000265

Medical Identifiers

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

Identifier	Type	State	Issuer
1225497894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SPO15897 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SPO30250 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2024030602 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Che Senior Care Therapy Services, Pc	8123269149	10
Che Senior Psychological Services, Pc	8022905314	174

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. David Petersen allows following entities to bill medicare on his behalf.

Entity Name	Che Senior Care Therapy Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144666496 PECOS PAC ID: 8123269149 Enrollment ID: O20130802000053

Entity Name	Pine Run Mental Health & Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902624869 PECOS PAC ID: 1355879305 Enrollment ID: O20250105000014

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. David 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
David Petersen, 2319 Pine Run Rd, Linden, PA 17744-8149 Ph: (929) 724-2277	David Petersen, 3512 Quentin Rd, Brooklyn, NY 11234-4244 Ph: (888) 515-3834

Reviews and Comments

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David Petersen, - Medicare Nurse Practitioner in Brooklyn, NY