Mrs Hannah Peterson, CAA is a medicare enrolled "Anesthesiologist Assistant" in West Bend, Wisconsin. Her current practice location is
3200 Pleasant Valley Rd, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 836-7300.
Mrs Hannah Peterson is licensed to practice in Wisconsin (license number 576-17) 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 1114739844.
Provider's Profile
| Full Name | Mrs Hannah Peterson |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114739844
- Provider Enumeration Date: 01/21/2025
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153851217
- Enrollment ID: I20250205001829
Medical Identifiers
Medical identifiers for Mrs Hannah Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114739844 | NPI | - | NPPES |
| 1114739844 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 576-17 (Wisconsin) | 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 Hannah Peterson allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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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 Hannah 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 |
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Mrs Hannah Peterson, CAA
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
Ph: (262) 836-7300 | Mrs Hannah Peterson, CAA
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
Ph: (262) 836-7300 |
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