Mr Kenneth S Peterson, NP in Worcester, MA - Medicare Nurse Practitioner

Mr Kenneth S Peterson, NP is a medicare enrolled "Nurse Practitioner - Family" in Worcester, Massachusetts. His current practice location is 70 Highland St Ste 1, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 715-6372.

Mr Kenneth S Peterson is licensed to practice in Massachusetts (license number RN192039) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194744896.

Contact Information

	Mr Kenneth S Peterson, NP
	70 Highland St Ste 1, Worcester, MA 01609-2730
	(508) 715-6372
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kenneth S Peterson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	70 Highland St Ste 1, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194744896
Provider Enumeration Date: 07/19/2006
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2860383734
Enrollment ID: I20040322000527

Medical Identifiers

Medical identifiers for Mr Kenneth S Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194744896	NPI	-	NPPES
0322938	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN192039 (Massachusetts)	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. Mr Kenneth S Peterson allows following entities to bill medicare on his behalf.

Entity Name	Family Health Center Of Worcester, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841200664 PECOS PAC ID: 4789670985 Enrollment ID: O20040422001380

Entity Name	Unity Family Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609602770 PECOS PAC ID: 7618497991 Enrollment ID: O20250218001650

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 Kenneth S Peterson 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 Kenneth S Peterson, NP 70 Highland St Ste 1, Worcester, MA 01609-2730 Ph: (508) 847-6546	Mr Kenneth S Peterson, NP 70 Highland St Ste 1, Worcester, MA 01609-2730 Ph: (508) 715-6372

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Mr Kenneth S Peterson, NP - Medicare Nurse Practitioner in Worcester, MA