Ms Steffanie Peterson, NP-C is a medicare enrolled "Clinical Nurse Specialist - Family Health" in St George, Utah. Her current practice location is
368 E Riverside Dr, Ste A, St George, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 673-1149.
Ms Steffanie Peterson is licensed to practice in Utah (license number 5322635-4405) 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 1083969455.
Provider's Profile
| Full Name | Ms Steffanie Peterson |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Family Health |
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| Location | 368 E Riverside Dr, St George, Utah |
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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: 1083969455
- Provider Enumeration Date: 07/20/2012
- Last Update Date: 01/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 5597992560
- Enrollment ID: I20131219000166
Medical Identifiers
Medical identifiers for Ms Steffanie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083969455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5322635-8900 (Utah) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 5322635-4405 (Utah) | 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. Ms Steffanie Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Summit Chiropractic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831626993
PECOS PAC ID: 0941578694
Enrollment ID: O20170621001381 |
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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. Ms Steffanie 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 |
|---|
Ms Steffanie Peterson, NP-C
6360 S 3000 E, Ste 220,
Salt Lake City, UT 84121-6924
Ph: (801) 944-3199 | Ms Steffanie Peterson, NP-C
368 E Riverside Dr, Ste A,
St George, UT 84790-6897
Ph: (435) 673-1149 |
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