Kelsey Peterson, - Medicare Occupational Therapist in Bridgeport, MI

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Kelsey Peterson, is a medicare enrolled "Occupational Therapist" provider in Bridgeport, Michigan. She went to Saginaw Valley Medical College - Nlg and graduated in 2022 and has 4 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Renue 004 Bridgeport Llc and her current practice location is 5460 W Rolling Hills Dr, Bridgeport, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 272-4500.

Kelsey Peterson is licensed to practice in Michigan (license number 5201013406) 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 1730604802.

Contact Information

Kelsey Peterson,
5460 W Rolling Hills Dr,
Bridgeport, MI 48722-9668
(989) 272-4500
(989) 272-4501

Map and Direction




Healthcare Provider's Profile

Full NameKelsey Peterson
GenderFemale
SpecialityOccupational Therapist In Private Practice
Experience4 Years
Location5460 W Rolling Hills Dr, Bridgeport, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Peterson attended and graduated from Saginaw Valley Medical College - Nlg in 2022
  NPI Data:
  • NPI Number: 1730604802
  • Provider Enumeration Date: 08/09/2017
  • Last Update Date: 12/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234595893
  • Enrollment ID: I20230524001161

Medical Identifiers

Medical identifiers for Kelsey Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730604802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 5201013406 (Michigan)Primary
106S00000XBehavior Technician (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Renue 004 Bridgeport Llc41838502667

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. Kelsey Peterson allows following entities to bill medicare on her behalf.
Provider NameRenue 003 Saginaw Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1578845285
PECOS PAC ID: 4981870870
Enrollment ID: O20111227000057
Provider NameRenue 001 Freeland Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922385707
PECOS PAC ID: 8325206535
Enrollment ID: O20120220000587
Provider NameRenue 002 Bay City Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1922379320
PECOS PAC ID: 3678735560
Enrollment ID: O20120511000056
Provider NameRenue 006 Saginaw State St Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1871835405
PECOS PAC ID: 4688817711
Enrollment ID: O20130821000483
Provider NameRenue 009 Midland Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1174963961
PECOS PAC ID: 1557596376
Enrollment ID: O20131104001170
Provider NameRenue 004 Bridgeport Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952740466
PECOS PAC ID: 4183850266
Enrollment ID: O20131119001767
Provider NameRenue 012 Essexville Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548740871
PECOS PAC ID: 7618211236
Enrollment ID: O20181207000491
Provider NameRenue 018 Tawas, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1790452043
PECOS PAC ID: 1759779853
Enrollment ID: O20211021003168

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. Kelsey 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 AddressPractice Location Address
Kelsey Peterson,
41521 W 11 Mile Rd,
Novi, MI 48375-1803

Ph: () -		Kelsey Peterson,
5460 W Rolling Hills Dr,
Bridgeport, MI 48722-9668

Ph: (989) 272-4500

Reviews and Comments


Occupational Therapist in Bridgeport, MI

Katherine Schaack,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3931 Jim Dr, Bridgeport, MI 48722
Phone: 989-295-0902    
Jordan Leigh Wolschlager, MSOT, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6296 Village Square Drive, Suite #2, Bridgeport, MI 48722
Phone: 989-401-1239    
Paramount Rehabilitation Services Pc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5505 W Rolling Hills Dr, Bridgeport, MI 48722
Phone: 989-331-0623    
Morgan Cathryn Bell, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722
Phone: 989-401-1239    
Renue 004 Bridgeport, Llc
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 5460 W. Rolling Hills Drive, Bridgeport, MI 48722
Phone: 989-928-1337    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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