Patrick C Peterson, PA-C is a
Physician Assistant based in Liberty Lake, Washington. Patrick C Peterson is licensed to practice in Washington (license number PA10003923) and his current practice location is
1326 N Stanford Ln, Liberty Lake, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 838-2531.
NPI number for Patrick C Peterson is 1437260171 and his current mailing address is Po Box 3649, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437260171.
Provider's Profile
| Full Name | Patrick C Peterson |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1326 N Stanford Ln, Liberty Lake, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437260171
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/12/2011
Medical Identifiers
Medical identifiers for Patrick C Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437260171 | NPI | - | NPPES |
| 0212972 | Other | WA | L&I |
| 8427494 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA10003923 (Washington) | Primary |
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. Patrick C Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Patrick C Peterson, PA-C
Po Box 3649,
Spokane, WA 99220-3649
Ph: () - | Patrick C Peterson, PA-C
1326 N Stanford Ln,
Liberty Lake, WA 99019-5034
Ph: (509) 838-2531 |
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