Thuy Le Petersen, PAC is a 
Internal Medicine based in Leavenworth, Kansas. Thuy Le Petersen is licensed to practice in Missouri (license number 1089316) and her current practice location is 
1300 Metropolitan Ave, Leavenworth, Kansas. She can be reached at her office (for appointments etc.) via phone at 
(913) 682-8700.
NPI number for Thuy Le Petersen is 1285969667 and her current mailing address is 5715 N Hull Ct, Kansas City, Missouri. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285969667.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Thuy Le Petersen | 
|---|
| Gender | Female | 
|---|
| Speciality | Internal Medicine | 
|---|
| Location | 1300 Metropolitan Ave, Leavenworth, Kansas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1285969667
- Provider Enumeration Date: 10/02/2009
- Last Update Date: 07/11/2019
 
		 
		 
Medical Identifiers
		Medical identifiers for Thuy Le Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1285969667 | NPI | - | NPPES | 
| 1089316 | Other | MO | MISSOURI LICENSE NUMBER | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363AS0400X | Physician Assistant - Surgical | 1089316 (Missouri) | Secondary | 
| 207R00000X | Internal Medicine | 1089316 (Missouri) | 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. Thuy Le Petersen 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 | 
|---|
		| Thuy Le Petersen, PAC 5715 N Hull Ct,
 Kansas City, MO 64151-2602
 Ph: (260) 418-3972
 | Thuy Le Petersen, PAC 1300 Metropolitan Ave,
 Leavenworth, KS 66048
 Ph: (913) 682-8700
 | 
		
		 
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