Katherine Jane Petersen, OTR/L in Roseburg, OR - Medicare Occupational Therapist Provider

Katherine Jane Petersen, OTR/L is a medicare enrolled "Occupational Therapist - Hand" provider in Roseburg, Oregon. Her current practice location is 780 Nw Garden Valley Blvd Ste 310, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 640-7625.

Katherine Jane Petersen is licensed to practice in Oregon (license number 314735) 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 1861847972.

Contact Information

	Katherine Jane Petersen, OTR/L
	780 Nw Garden Valley Blvd Ste 310, Roseburg, OR 97471-2298
	(541) 640-7625
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Jane Petersen
Gender	Female
Speciality	Occupational Therapist - Hand
Location	780 Nw Garden Valley Blvd Ste 310, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861847972
Provider Enumeration Date: 04/26/2016
Last Update Date: 01/24/2020

Medicare PECOS Information:

PECOS PAC ID: 2860783735
Enrollment ID: I20160623001516

Medical Identifiers

Medical identifiers for Katherine Jane Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861847972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	314735 (Oregon)	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. Katherine Jane Petersen allows following entities to bill medicare on her behalf.

Provider Name	Icco Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

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. Katherine Jane Petersen 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
Katherine Jane Petersen, OTR/L 1292 High St Ste 224, Eugene, OR 97401-3238 Ph: (541) 500-2500	Katherine Jane Petersen, OTR/L 780 Nw Garden Valley Blvd Ste 310, Roseburg, OR 97471-2298 Ph: (541) 640-7625

Reviews and Comments

Occupational Therapist in Roseburg, OR

Rebecca Irene Moyer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2198 Ne Stephens St Ste 101, Roseburg, OR 97470 Phone: 541-900-1418 Fax: 541-900-1419
Kyle Ingram, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 470 Ne Stephens St, Suite 102, Roseburg, OR 97470 Phone: 541-673-5770 Fax: 541-673-5774
Camille E Campanaro, OTD OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Ne Stephens St, Roseburg, OR 97470 Phone: 541-670-6012
Philip Michael Cusack, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Ne Stephens St, Roseburg, OR 97470 Phone: 541-440-4794
Brock Kolander, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
James Diemert, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Ne Stephens St, Suite 102, Roseburg, OR 97470 Phone: 541-673-5770 Fax: 541-673-5774
Daniel Lee Palmcook, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building One, Room C100, Roseburg, OR 97470 Phone: 541-440-1000

Katherine Jane Petersen, OTR/L - Medicare Occupational Therapist in Roseburg, OR