Mrs Michelle Annmarie Jackson Petersen, NP in Astoria, NY

Mrs Michelle Annmarie Jackson Petersen, NP is a medicare enrolled "Nurse Practitioner - Family" in Astoria, New York. Her current practice location is 2322 30th Rd Ste 1a, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at (667) 326-9198.

Mrs Michelle Annmarie Jackson Petersen is licensed to practice in New York (license number F348339-01) 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 1205548443.

Contact Information

	Mrs Michelle Annmarie Jackson Petersen, NP
	2322 30th Rd Ste 1a, Astoria, NY 11102-3238
	(667) 326-9198
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Annmarie Jackson Petersen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2322 30th Rd Ste 1a, Astoria, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205548443
Provider Enumeration Date: 12/20/2022
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6507397452
Enrollment ID: I20241002001406

Medical Identifiers

Medical identifiers for Mrs Michelle Annmarie Jackson Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205548443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F348339-01 (New York)	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 Michelle Annmarie Jackson Petersen allows following entities to bill medicare on her behalf.

Entity Name	Jamaica Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519

Entity Name	Samuel Akuoku Physician Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902216229 PECOS PAC ID: 2860613049 Enrollment ID: O20141103000364

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 Michelle Annmarie Jackson 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
Mrs Michelle Annmarie Jackson Petersen, NP 21917 130th Dr, Springfield Gardens, NY 11413-1220 Ph: (718) 276-2651	Mrs Michelle Annmarie Jackson Petersen, NP 2322 30th Rd Ste 1a, Astoria, NY 11102-3238 Ph: (667) 326-9198

Reviews and Comments

Nurse Practitioner Nurses in Astoria, NY

Laurita Hidalgo, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3416 34th St, Apt 3f, Astoria, NY 11106 Phone: 212-241-5533
Fariha Kabir, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1456 31st Dr Apt 5d, Astoria, NY 11106 Phone: 347-891-6046
Audrey Duffy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 30th Ave, #la, Astoria, NY 11102 Phone: 718-932-9870 Fax: 718-932-9878
Ms. Dianne Edwina Cavanaugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2510 30th Ave, Mount Sinai Hospital Queens, Astoria, NY 11102 Phone: 718-932-1000
John O' Leary, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4904 19th Ave, Astoria, NY 11105 Phone: 718-777-3494
Kerstin Connaire, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000
Dafina Naydenova, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2180 33rd Rd Apt 7c, Astoria, NY 11106 Phone: 917-400-8466

Mrs Michelle Annmarie Jackson Petersen, NP - Medicare Nurse Practitioner in Astoria, NY