Tawni Peterson, is a medicare enrolled "Nurse Practitioner - Primary Care" in Council, Idaho. Her current practice location is
205 N Berkley St, Council, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 250-0970.
Tawni Peterson is licensed to practice in Idaho (license number 54458) 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 1508226226.
Provider's Profile
| Full Name | Tawni Peterson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 205 N Berkley St, Council, Idaho |
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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: 1508226226
- Provider Enumeration Date: 02/24/2016
- Last Update Date: 03/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 9335421114
- Enrollment ID: I20170131002781
Medical Identifiers
Medical identifiers for Tawni Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508226226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | N-45114 (Idaho) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 54458 (Idaho) | 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. Tawni Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Adams County Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710915897
PECOS PAC ID: 1557453446
Enrollment ID: O20070823000265 |
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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. Tawni 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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Tawni Peterson,
Po Box 560,
New Meadows, ID 83654-0560
Ph: (209) 825-0097 | Tawni Peterson,
205 N Berkley St,
Council, ID 83612
Ph: (208) 250-0970 |
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