Kathy L Petersburg, ARNP - Medicare Nurse Practitioner in Decorah, IA

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Kathy L Petersburg, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Decorah, Iowa. Her current practice location is 901 Montgomery St, Decorah, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 382-2911.

Kathy L Petersburg is licensed to practice in Iowa (license number J073230) 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 1508860974.

Contact Information

Kathy L Petersburg, ARNP
901 Montgomery St,
Decorah, IA 52101-2325
(563) 382-2911
(563) 387-3102

Map and Direction




Provider's Profile

Full NameKathy L Petersburg
GenderFemale
SpecialityNurse Practitioner - Family
Location901 Montgomery St, Decorah, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508860974
  • Provider Enumeration Date: 06/13/2005
  • Last Update Date: 01/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9830155340
  • Enrollment ID: I20041207000364

Medical Identifiers

Medical identifiers for Kathy L Petersburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508860974NPI-NPPES
838721400MedicaidMN
1432070MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0696743-1 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family J073230 (Iowa)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. Kathy L Petersburg allows following entities to bill medicare on her behalf.
Entity NameWinneshiek Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992854863
PECOS PAC ID: 4688582935
Enrollment ID: O20040316001437
Entity NameWinneshiek Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1619922051
PECOS PAC ID: 4688582935
Enrollment ID: O20061104000215

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. Kathy L Petersburg 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
Kathy L Petersburg, ARNP
2253 Madison Rd,
Decorah, IA 52101-7813

Ph: () -		Kathy L Petersburg, ARNP
901 Montgomery St,
Decorah, IA 52101-2325

Ph: (563) 382-2911

Reviews and Comments


Nurse Practitioner Nurses in Decorah, IA

Rebecca L Gesing, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-2911    Fax: 563-387-3102
Mrs. Heather Kay Levinson, MSN, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-2911    
Ms. Diane Jean Ernst, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-9671    Fax: 563-382-4143
Jennifer Marie Becker, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-2911    
Dr. Samantha Jo Mikota Reicks, DNP, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-2911    Fax: 563-387-3102
Amy Millage, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Paine St Ste D, Decorah, IA 52101
Phone: 563-379-8969    

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.