Kerry Lynn Petersen, APRN in Omaha, NE - Medicare Clinical Nurse Specialist

Kerry Lynn Petersen, APRN is a medicare enrolled "Clinical Nurse Specialist - Neonatal" in Omaha, Nebraska. Her current practice location is 987440 Nebraska Medical Ctr, Neonatal Intensive Care Unit, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 559-4442.

Kerry Lynn Petersen is licensed to practice in Nebraska (license number 111154) 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 1114231362.

Contact Information

	Kerry Lynn Petersen, APRN
	987440 Nebraska Medical Ctr, Neonatal Intensive Care Unit, Omaha, NE 68198-7740
	(402) 559-4442
	Not Available

Map and Direction

Provider's Profile

Full Name	Kerry Lynn Petersen
Gender	Female
Speciality	Clinical Nurse Specialist - Neonatal
Location	987440 Nebraska Medical Ctr, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114231362
Provider Enumeration Date: 07/29/2010
Last Update Date: 07/29/2010

Medicare PECOS Information:

PECOS PAC ID: 6305035981
Enrollment ID: I20110113000037

Medical Identifiers

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

Identifier	Type	State	Issuer
1114231362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SN0000X	Clinical Nurse Specialist - Neonatal	111154 (Nebraska)	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. Kerry Lynn Petersen allows following entities to bill medicare on her behalf.

Entity Name	Unmc Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664

Entity Name	Nebraska Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689628372 PECOS PAC ID: 6901707447 Enrollment ID: O20040116000781

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. Kerry Lynn 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
Kerry Lynn Petersen, APRN 1520 N 185th St, Elkhorn, NE 68022-3834 Ph: (402) 578-4965	Kerry Lynn Petersen, APRN 987440 Nebraska Medical Ctr, Neonatal Intensive Care Unit, Omaha, NE 68198-7740 Ph: (402) 559-4442

Reviews and Comments

Clinical Nurse Specialist Nurses in Omaha, NE

Sharon K Baker, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 988095 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-9800 Fax: 402-559-9840
Christina J Vejnovich, DNP, APRN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-8744
Carrie Snyder, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2500 California Plz, Hlsb Rm 202, Omaha, NE 68178 Phone: 402-280-2942 Fax: 402-280-1734
Leigh K Cook, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 42nd @ Dewey St, Omaha, NE 68105 Phone: 402-552-6007 Fax: 402-552-6035
Kimberly Ann Vaughan, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 119 N 51st St Ste 200, Omaha, NE 68132 Phone: 402-932-8020 Fax: 402-905-3042
Shelley Clare Hultman, APRN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 140-235-4443

Kerry Lynn Petersen, APRN - Medicare Clinical Nurse Specialist in Omaha, NE