Tia Peterson, NP-C in Providence, UT - Medicare Nurse Practitioner

Tia Peterson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Providence, Utah. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Daniel J Huff Podiatry Dpm Pc and her current practice location is 435 N Gateway Dr Ste 801, Providence, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 787-1023.

Tia Peterson is licensed to practice in Utah (license number 324961-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902277908.

Contact Information

	Tia Peterson, NP-C
	435 N Gateway Dr Ste 801, Providence, UT 84332-9004
	(435) 787-1023
	(435) 787-1882

Map and Direction

Provider's Profile

Full Name	Tia Peterson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	435 N Gateway Dr Ste 801, Providence, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tia Peterson graduated from nursing school in 2015

NPI Data:

NPI Number: 1902277908
Provider Enumeration Date: 10/15/2015
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8123328275
Enrollment ID: I20151123000989

Medical Identifiers

Medical identifiers for Tia Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902277908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	324961-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Daniel J Huff Podiatry Dpm Pc	5597857029	5

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. Tia Peterson allows following entities to bill medicare on her behalf.

Entity Name	Daniel J Huff Podiatry Dpm Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750580643 PECOS PAC ID: 5597857029 Enrollment ID: O20070828000806

Entity Name	Eric C. Chenworth, D.o.,p.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376887927 PECOS PAC ID: 2668615246 Enrollment ID: O20130829000420

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. Tia 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
Tia Peterson, NP-C 435 N Gateway Dr Ste 801, Providence, UT 84332-9004 Ph: (435) 787-1023	Tia Peterson, NP-C 435 N Gateway Dr Ste 801, Providence, UT 84332-9004 Ph: (435) 787-1023

Reviews and Comments

Nurse Practitioner Nurses in Providence, UT

Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005
Vonda Michelle Mcbride, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 W 465 N Ste 601, Providence, UT 84332 Phone: 801-515-5564 Fax: 385-364-0600
Andrea Arnell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Grandview Dr, Providence, UT 84332 Phone: 435-881-3278
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022
Wylee Kyle Jensen, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882
Natalie Jean Gibson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-213-3597

Tia Peterson, NP-C - Medicare Nurse Practitioner in Providence, UT