Mrs Debra J Peterson, RN, CFNP in Minnetonka, MN

Mrs Debra J Peterson, RN, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Minnetonka, Minnesota. Her current practice location is 12450 Wayzata Blvd, Suite 215, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 546-6866.

Mrs Debra J Peterson is licensed to practice in Minnesota (license number ) 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 1356450860.

Contact Information

	Mrs Debra J Peterson, RN, CFNP
	12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978
	(952) 546-6866
	(952) 512-0038

Map and Direction

Provider's Profile

Full Name	Mrs Debra J Peterson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12450 Wayzata Blvd, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356450860
Provider Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597891846
Enrollment ID: I20100326000054

Medical Identifiers

Medical identifiers for Mrs Debra J Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356450860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	(Minnesota)	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. Mrs Debra J Peterson allows following entities to bill medicare on her behalf.

Entity Name	Advancements In Allergy And Asthma Care Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619994696 PECOS PAC ID: 9830176502 Enrollment ID: O20040630000943

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. Mrs Debra J 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
Mrs Debra J Peterson, RN, CFNP 2271 Forest Shores Rd, Ogilvie, MN 56358-3927 Ph: (952) 546-6866	Mrs Debra J Peterson, RN, CFNP 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 Ph: (952) 546-6866

Reviews and Comments

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Mrs Debra J Peterson, RN, CFNP - Medicare Nurse Practitioner in Minnetonka, MN